NPI:
1457766339
Provider Name:
WELLSTAR MEDICAL GROUP, LLC
Doing Business As: WELLSTAR ENDOCRINOLOGY (AUSTELL)
Classification:
Internal Medicine - 207RE0101X
Entity Type:
Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 11D0919086
Address:
3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106
Phone:
(770) 941-8100
Get Directions
WELLSTAR MEDICAL GROUP, LLC is an endocrinology and diabetes and metabolism internal medicine in Austell, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. WELLSTAR MEDICAL GROUP, LLC NPI is 1457766339. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellstar Endocrinology (austell).
The provider's business location address is:
3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106-831
Phone: (770) 941-8100
Fax: (770) 948-0771
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 CLIA number assigned to this NPI record is 11D0919086 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/30/2014 and was last updated on 12/7/2015.