Wellstreet Of Georgia Pc

LBN: Wellstreet Of Georgia Pc
Wellstreet Of Georgia Pc is an health care organization with primary practice located at 1575 Mount Vernon Rd , Dunwoody GA 30338-4146. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Wellstreet Of Georgia Pc can be contacted via phone (404) 996-0197, or through Alvord, Samantha via phone (770) 521-6690.

Contact Information

Primary practice address
1575 Mount Vernon Rd Dunwoody GA 30338-4146
Phone: (404) 996-0197
Fax: (770) 730-9969
Website:
Map and Directions
Authorized official contact:
Name: Alvord, Samantha
Phone: (770) 521-6690

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1538666854
LBN Legal business name Wellstreet Of Georgia Pc
DBA Doing business as
Authorized official Alvord, Samantha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2018
Last updated Apr 12th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538666854 NPPES
Georgia MEDICAID 003135899A

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