OrganizationActive
Wellstreet of Georgia PC
NPI 1093596579 · Non-Pharmacy Dispensing Site · Mayfield Heights, OH
Provider details
- NPI number
- 1093596579
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Katie Mons, District Manager(770) 502-2121
Specialties & taxonomies
Suppliers
Practice location
1300 Som Center Rd
Mayfield Heights, OH 44124-2048
Phone: (440) 210-4140
Fax: (440) 210-4145
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Som Center Rd
Mayfield Heights, OH 44124-2048
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.