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WELLSTAR PEDIATRICS AT BROOKSTONE LLC NPI 1669429734


NPI Information

NPI: 1669429734
Provider Name: WELLSTAR PEDIATRICS AT BROOKSTONE, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
5150 STILESBORO RD NW
SUITE 220
KENNESAW, GA
ZIP 30152
Phone: (770) 424-8222
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WELLSTAR PEDIATRICS AT BROOKSTONE, LLC is a pediatrics in Kennesaw, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WELLSTAR PEDIATRICS AT BROOKSTONE, LLC NPI is 1669429734. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5150 STILESBORO RD NW
SUITE 220
KENNESAW, GA
ZIP 30152-744
Phone: (770) 424-8222
Fax: (770) 424-9962

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 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
1208000000XPediatricsYes

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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