WELLSTREET OF GEORGIA PC NPI 1295212033

NPI Information

NPI: 1295212033
Provider Name: WELLSTREET OF GEORGIA PC

Doing Business As: PIEDMONT URGENTCARE BY WELLSTREET

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

Specialization: Urgent Care

Address:
5239 HIGHWAY 278 NE
COVINGTON, GA
ZIP 30014
Phone: (678) 660-5106
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WELLSTREET OF GEORGIA PC is an urgent care clinic center in Covington, GA. WELLSTREET OF GEORGIA PC NPI is 1295212033. The provider is registered as an organization entity type.
The provider Is Doing Business As Piedmont Urgentcare By Wellstreet.

The provider's business location address is:

5239 HIGHWAY 278 NE
COVINGTON, GA
ZIP 30014-671
Phone: (678) 660-5106
Fax: (678) 660-5107

The provider's authorized official is Keesha D Pinacle .
The authorized official title is Credentialing Coordinator and has the following contact phone number (770) 809-3036.

The CLIA number assigned to this NPI record is 11D0904167 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2018 and was last updated on 7/24/2018.

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

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

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