NPI | 1558664003 |
---|---|
Doing Business As | WELLSTAR FAMILY MEDICINE ACW |
Entity Type | Organization |
Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-12-06 |
Last Update Date | 2013-11-19 |