Wellstreet Of Georgia Pc

LBN: Wellstreet Of Georgia Pc
Wellstreet Of Georgia Pc is an health care organization with primary practice located at 2410 Ingleside Ave , Macon GA 31204-2036. 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 (478) 309-1004, or through Cassarino, Katie via phone (678) 414-2824.

Contact Information

Primary practice address
2410 Ingleside Ave Macon GA 31204-2036
Phone: (478) 309-1004
Fax: (478) 309-2396
Website:
Map and Directions
Authorized official contact:
Name: Cassarino, Katie
Phone: (678) 414-2824

Health care specialties

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

Profile Details

NPI number 1699419432
LBN Legal business name Wellstreet Of Georgia Pc
DBA Doing business as
Authorized official Cassarino, Katie
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2022
Last updated Apr 27th, 2022 - about 3 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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