NPI | 1790189983 |
---|---|
Doing Business As | WELLSTAR COMPLEX CARE CLINIC |
Entity Type | Organization |
Authorized Contact | NICOLE ASHE Executive Director Of Finance 470-644-0095 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2014-10-16 |
Last Update Date | 2014-10-16 |