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Wellstreet Of Georgia Pc
Non-Pharmacy Dispensing Site in Smyrna, Georgia
NPI 1891265773

Wellstreet Of Georgia Pc is a Non-Pharmacy Dispensing Site based in Atlanta, GA. Wellstreet Of Georgia Pc practices in Smyrna, GA. The NPI Number for Wellstreet Of Georgia Pc is 1891265773 and holds a License No. (Georgia).

The current practice location address for Wellstreet Of Georgia Pc is 1155 Concord Rd Se Ste 200, Smyrna, GA and can be reached out via phone at 770-809-3036 and via fax at 404-662-2399.

Location: 1155 Concord Rd Se Ste 200, Smyrna, GA, 30339-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891265773
Provider Name
Wellstreet Of Georgia Pc
Credential
Provider Entity Type
Organization
Address
1155 Concord Rd Se Ste 200, Smyrna, GA, 30339-3300
Phone Number
770-809-3036
Fax Number
404-662-2399
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003137211A 05 GA
institution
Provider Business Practice Location Address Details
Address
1155 Concord Rd Se Ste 200
City
Smyrna
State
Georgia
Zip
30080-4207
Phone Number
770-809-3036
Fax Number
404-662-2399
person
Provider Business Mailing Address Details
Address
1155 Concord Rd Se Ste 200
City
Smyrna
State
Georgia
Zip
30080-4207
Phone Number
770-809-3036
Fax Number
404-662-2399
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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