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General NPI Number Information
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NPI Number | 1598795585
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Entity Type | Organization
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Legal Business Name | WELLSTAR ATLANTA MEDICAL CENTER, INC
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 303 PARKWAY DR NE
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City | ATLANTA
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State | GA
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Zip | 30312-1212
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Country | US
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Telephone | 404-265-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 PARKWAY PL SE STE 500
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City | MARIETTA
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State | GA
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Zip | 30067-8237
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Country | US
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Telephone | 470-956-4981
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Fax | 770-792-5272
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Authorized Official
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Title or Position | EVP
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Name | MR. ANTHONY J BUDZINSKI
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Credential |
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Telephone | 470-644-0012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 060-551
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License Number State | GA
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