DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WELLSTAR MEDICAL GROUP, LLC

MEDICARE: WELLSTAR MEDICAL GROUP, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianGA
2208000000XPediatrics PhysicianGA
3207R00000XInternal Medicine PhysicianGA

General Provider Information

NPI Number : 1164728770
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSTAR MEDICAL GROUP, LLC
Provider Business Mailing Address
First Line : 3707 LARGENT WAY NW
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1672
Country : US
Telephone Number : 678-581-5729
Fax Number : 678-581-5719
Provider Business Practice Location Address
First Line : 3707 LARGENT WAY NW
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1672
Country : US
Telephone Number : 678-581-5729
Fax Number : 678-581-5719
Authorized Official
Title or Position : EXECUTIVE DIRECTOR OF FINANCE
Name : MRS. NICOLE ASHE
Credential :
Telephone Number : 470-644-0095
Provider Enumeration Date : 01/28/2011
Last Update Date : 11/19/2013

Similar Medicare Providers

1063401289 — DR. LORI SPITZER CORLEY MD
Practice Location Address:
3707 LARGENT WAY NW
MARIETTA, GA
30064-1672
Practice Phone: 678-581-5729
Practice Fax: 678-581-5719
1881683001 — DR. AMBER JO ORQUIA MD
Practice Location Address:
3707 LARGENT WAY NW
MARIETTA, GA
30064-1672
Practice Phone: 678-581-5830
Practice Fax: 678-581-5835
1871582098 — MS. DIANE FOLLMER CNP
Practice Location Address:
3707 LARGENT WAY NW
MARIETTA, GA
30064-1672
Practice Phone: 678-581-5729
Practice Fax: 678-581-5719
1881668580 — DR. DANIEL N SAADE MD
Practice Location Address:
3707 LARGENT WAY NW
MARIETTA, GA
30064-1672
Practice Phone: 678-581-5729
Practice Fax: 678-581-5719
1396791679 — WELLSTAR WEST COBB MEDICAL CENTER, LLC
Practice Location Address:
3707 LARGENT WAY NW
MARIETTA, GA
30064-1672
Practice Phone: 678-581-5729
Practice Fax: 678-581-5719
1740578954 — ANGELA HERRINGTON FNP
Practice Location Address:
3707 LARGENT WAY NW
MARIETTA, GA
30064-1672
Practice Phone: 678-581-5729
Practice Fax: 678-581-5719

Directions to “WELLSTAR MEDICAL GROUP, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.