NPI 1316600760
Wellstreet of Georgia PC
Practice location
- Address
- 789 Church St NE, Marietta, GA 30060-7237
- Phone
- (770) 881-7964
- Mailing address
- 3350 Riverwood Pkwy SE STE 1850, Atlanta, GA 30339-3300
Authorised official
- Name
- Heather Brock
- Title
- Cred Supervisor
- Phone
- (678) 770-9005
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1316600760
- Entity type
- Organization
- NPI issued
- 21 Oct 2021
- Record last updated
- 21 Oct 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.