NPI 1174104574
Wellstreet of Georgia PC
Practice location
- Address
- 909 S Park St, Carrollton, GA 30117-4456
- Phone
- (678) 782-9994
- Mailing address
- 3350 Riverwood Pkwy SE STE 1850, Atlanta, GA 30339-3300
Authorised official
- Name
- Katie Cassarino
- Title
- Practice Manager
- Phone
- (470) 400-3449
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1174104574
- Entity type
- Organization
- NPI issued
- 16 Apr 2021
- Record last updated
- 16 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.