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General NPI Number Information
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NPI Number | 1538026968
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Entity Type | Organization
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Legal Business Name | WELLSTREET OF GEORGIA PC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1909 N COLUMBIA ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2170
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Country | US
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Telephone | 478-354-4250
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Fax | 478-354-4255
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Provider Business Mailing Address
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Address Line | 1909 N COLUMBIA ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2170
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Country | US
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Telephone | 478-354-4250
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Fax | 478-354-4255
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Authorized Official
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Title or Position | DISTRICT MANAGER
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Name | KATIE MONS
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Credential |
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Telephone | 770-502-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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