OrganizationActive
Wellstar Medical Group, LLC
NPI 1689967697 · Clinical Neurophysiology Physician · Marietta, GA
Provider details
- NPI number
- 1689967697
- Entity type
- Organization
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wellstar Medical Group, LLC
- Authorized official
- Nicole Ashe, Executive Director of Finance
Practice location
677 Church St Ne
Marietta, GA 30060-1101
Phone: (770) 793-6695
Fax: (770) 793-7997
Mailing address
677 Church St Ne
Marietta, GA 30060-1101
Registry dates
- Enumerated
- 2011-05-24
- Last updated
- 2013-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.