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WELLSTAR MEDICAL GROUP LLC NPI 1326333907


NPI Information

NPI: 1326333907
Provider Name: WELLSTAR MEDICAL GROUP, LLC

Doing Business As: WELLSTAR HAND SURGERY

Classification: Surgery - 2086S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
4550 COBB PARKWAY NW
SUITE 309-B
ACWORTH, GA
ZIP 30101
Phone: (770) 917-6795
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WELLSTAR MEDICAL GROUP, LLC is a surgery of the hand surgery in Acworth, GA. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. WELLSTAR MEDICAL GROUP, LLC NPI is 1326333907. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Hand Surgery.

The provider's business location address is:

4550 COBB PARKWAY NW
SUITE 309-B
ACWORTH, GA
ZIP 30101-180
Phone: (770) 917-6795
Fax: (770) 529-9077

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (470) 644-0095.

The enumeration date for this NPI number is 6/13/2011 and was last updated on 11/19/2013.


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
12086S0105XSurgerySurgery of the HandGEORGIAYes

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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