NPI | 1780924043 |
---|---|
Doing Business As | WELLSTAR PEDIATRICS AT JOHNSON SQUARE |
Entity Type | Organization |
Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2013-02-25 |
Last Update Date | 2015-05-26 |