Wellstar Creekside Pediatrics

LBN: Wellstar Medical Group, Llc
Wellstar Creekside Pediatrics is an health care organization with primary practice located at 6095 Professional Pkwy Suite 100, Douglasville GA 30134-5607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wellstar Medical Group, Llc can be contacted via phone (770) 920-2255, or through Ashe, Nicole via phone (470) 644-0095.

Contact Information

Primary practice address
6095 Professional Pkwy Suite 100 Douglasville GA 30134-5607
Phone: (770) 920-2255
Fax: (770) 920-9963
Website:
Map and Directions
Authorized official contact:
Name: Ashe, Nicole
Phone: (470) 644-0095

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Georgia

Profile Details

NPI number 1912203050
LBN Legal business name Wellstar Medical Group, Llc
DBA Doing business as Wellstar Creekside Pediatrics
Authorized official Ashe, Nicole
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2011
Last updated Nov 19th, 2013 - about 13 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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