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WELLSTREET OF GEORGIA PC 1619624681

Overview
Name: WELLSTREET OF GEORGIA PC Specialty: Non-Pharmacy Dispensing Site Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Suppliers Classification: Non-Pharmacy Dispensing Site Specialization: . Definition of Specialty: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: WELLSTREET OF GEORGIA PC,4475 W VILLAGE PKWY,ELLENWOOD,GA,302942869,US Mailing Address: WELLSTREET OF GEORGIA PC,4475 W VILLAGE PKWY,ELLENWOOD,GA,302942869,US
Contact #
Practice location phone #: 7705077950 Practice location fax #: 7705077978 Mailing address Phone #: 7705077950 Mailing Address fax #: 7705077978 Authorized official Name/Telephone #:KATIE, CASSARINO, PRACTICE MANAGER 6784142824
Misc
Date NPI was obtained: 03/09/2022 Last data data was updated: 03/09/2022 Insurances:

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