Piedmont Urgentcare By Wellstreet

LBN: Wellstreet Of Georgia Pc
Piedmont Urgentcare By Wellstreet is an health care organization with primary practice located at 4763 Atlanta Hwy Ste 420 , Loganville GA 30052-6788. 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 (470) 395-6793, or through Alvord, Samantha via phone (770) 521-6690.

Contact Information

Primary practice address
4763 Atlanta Hwy Ste 420 Loganville GA 30052-6788
Phone: (470) 395-6793
Fax:
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 1861980955
LBN Legal business name Wellstreet Of Georgia Pc
DBA Doing business as Piedmont Urgentcare By Wellstreet
Authorized official Alvord, Samantha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2018
Last updated Jun 16th, 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 1861980955 NPPES
Georgia MEDICAID 003179873A

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