NPI 1861980955
Wellstreet of Georgia PC
Practice location
- Address
- 4763 Atlanta Hwy STE 420, Loganville, GA 30052-6788
- Phone
- (470) 395-6793
- Mailing address
- 3350 Riverwood Pkwy SE STE 1850, Atlanta, GA 30339-3300
Authorised official
- Name
- Samantha Alvord
- Title
- Practice Manager
- Phone
- (770) 521-6690
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1861980955
- Entity type
- Organization
- NPI issued
- 25 Apr 2018
- Record last updated
- 16 Jun 2018
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.