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1316600760
WELLSTREET OF GEORGIA PC
MARIETTA, GA
NPI
1316600760
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Entity Type
Organization
Authorized Contact
HEATHER BROCK
Cred Supervisor
678-770-9005
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2021-10-21
Last Update Date
2021-10-21
Business Address
WELLSTREET OF GEORGIA PC
789 CHURCH ST NE
MARIETTA, GA 30060-7237
Phone number: 770-881-7964
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Mailing Address
WELLSTREET OF GEORGIA PC
3350 RIVERWOOD PKWY SE STE 1850
ATLANTA, GA 30339-3300
Phone number:
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