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WELLSTREET OF GEORGIA PC NPI 1942343405


NPI Information

NPI: 1942343405
Provider Name: WELLSTREET OF GEORGIA PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1755 HIGHWAY 34 E
SUITE 2150
NEWNAN, GA
ZIP 30265
Phone: (770) 202-2121
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WELLSTREET OF GEORGIA PC is an emergency medicine in Newnan, 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. WELLSTREET OF GEORGIA PC NPI is 1942343405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1755 HIGHWAY 34 E
SUITE 2150
NEWNAN, GA
ZIP 30265-631
Phone: (770) 202-2121

The provider's authorized official is Tonia Rana Davis .
The authorized official title is Credentialing Manager and has the following contact phone number (770) 809-3036.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 12/2/2019.


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?

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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