WELLSTAR URGENT CARE ON DELK ROAD LLC NPI 1053368902

NPI Information

  • NPI: 1053368902
  • Provider Name: WELLSTAR URGENT CARE ON DELK ROAD, LLC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • CLIA Number: 11D2304926
  • Address: 2890 DELK RD SE
    MARIETTA, GA
    ZIP 30067
  • Phone: (770) 955-8620

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NPI Details

WELLSTAR URGENT CARE ON DELK ROAD, LLC is an emergency medicine in Marietta, GA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WELLSTAR URGENT CARE ON DELK ROAD, LLC NPI is 1053368902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2890 DELK RD SE
MARIETTA, GA
ZIP 30067-326
Phone: (770) 955-8620
Fax: (770) 955-0377

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (770) 792-5261.

The CLIA number assigned to this NPI record is 11D2304926 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 7/14/2008.

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
1207P00000XEmergency MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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