NPI 1306110424

Pulmonary Wellstar

Organisation Special Hospital Marietta, GA

Practice location

Address: 55 Witcher St Suite 160, Marietta, GA 30060
Phone: (770) 422-1372
Mailing address: 335 Shadowood Parkway APT 335, Atlanta, GA 30339

Authorised official

Name: Medel Reyes
Title: MD, Supervising Physician
Phone: (770) 422-1372

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X

Other Special Hospital providers in Georgia →

Registry record

NPI: 1306110424
Entity type: Organization
NPI issued: 7 Mar 2012
Record last updated: 7 Mar 2012

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.