Piedmont Urgentcare By Wellstreet
LBN: Wellstreet Of Georgia Pc
Piedmont Urgentcare By Wellstreet is an health care organization with primary practice located at 1155 Concord Rd Se Ste 200 , Smyrna GA 30080-4207. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty.
Wellstreet Of Georgia Pc can be contacted via phone (770) 809-3036, or through Davis, Tonia Rana via phone (770) 809-3036.
Contact Information
Primary practice address
1155 Concord Rd Se Ste 200
Smyrna GA 30080-4207
Phone: (770) 809-3036
Fax: (404) 662-2399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
| NPI number | 1891265773 |
|---|---|
| LBN Legal business name | Wellstreet Of Georgia Pc |
| DBA Doing business as | Piedmont Urgentcare By Wellstreet |
| Authorized official | Davis, Tonia Rana |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2018 |
| Last updated | Nov 13th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891265773 | NPPES |
| Georgia | MEDICAID | 003137211A |
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