WELLSTREET OF GEORGIA PC NPI 1235411547

NPI Information

NPI: 1235411547
Provider Name: WELLSTREET OF GEORGIA PC

Doing Business As: WELLSTREET URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
3350 RIVERWOOD PKWY SE STE 1850
ATLANTA, GA
ZIP 30339
Phone: (404) 996-0344
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WELLSTREET OF GEORGIA PC is an urgent care clinic center in Atlanta, GA. WELLSTREET OF GEORGIA PC NPI is 1235411547. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellstreet Urgent Care.

The provider's business location address is:

3350 RIVERWOOD PKWY SE STE 1850
ATLANTA, GA
ZIP 30339-300
Phone: (404) 996-0344
Fax: (404) 662-2399

The provider's authorized official is Victoria Ellison .
The authorized official title is Vice President Revenue Cycle Manage and has the following contact phone number (770) 502-2121.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003137211A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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