| NPI | 1508162173 |
|---|---|
| Doing Business As | WELLSTAR SOUTH COBB PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2013-11-19 |