OrganizationActive
Wellstar Medical Group, LLC
NPI 1154616845 · Anatomic Pathology Physician · Austell, GA
Provider details
- NPI number
- 1154616845
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellstar Medical Group, LLC
- Organization subpart
- Yes
- Authorized official
- Nicole Ashe, Executive Director of Finance(470) 644-0095
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 792-3585
Fax: (770) 732-3589
Approximate (ZIP-level) locationGet directions
Mailing address
3950 Austell Rd
Austell, GA 30106-1121
Other names (DBA / former)
- Doing business as
- Wellstar Physicians Group Pathologists
Registry dates
- Enumerated
- 2011-06-10
- Last updated
- 2013-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.