NPI | 1275814964 |
---|---|
Doing Business As | WELLSTAR FAMILY MEDICINE & GERIATRIC MEDICINE |
Entity Type | Organization |
Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2011-09-08 |
Last Update Date | 2013-11-19 |