NPI 1982195343
Wellstreet of Georgia PC
Practice location
- Address
- 3999 Austell Rd STE 901, Austell, GA 30106-1160
- Phone
- (770) 809-3032
- 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
- 1982195343
- Entity type
- Organization
- NPI issued
- 22 May 2018
- Record last updated
- 22 May 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.