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1508239997
WELLSTREET OF GEORGIA PC
NEWNAN, GA
NPI
1508239997
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Entity Type
Organization
Authorized Contact
TONIA R DAVIS
Credentialing Manager
770-809-3036
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2015-11-06
Last Update Date
2019-12-02
Business Address
WELLSTREET OF GEORGIA PC
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 30265-6416
Phone number: 770-502-2121
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Mailing Address
WELLSTREET OF GEORGIA PC
549 BULLSBORO DR
NEWNAN, GA 30265-1045
Phone number: 770-502-2121
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