OrganizationActive
Wellstreet of Georgia PC
NPI 1902687759 · Non-Pharmacy Dispensing Site · Lakewood, OH
Provider details
- NPI number
- 1902687759
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Katie Mons, District Manager(678) 414-2824
Specialties & taxonomies
Suppliers
Practice location
14800 Madison Ave
Lakewood, OH 44107-4010
Phone: (216) 925-4600
Fax: (216) 925-4601
Approximate (ZIP-level) locationGet directions
Mailing address
14800 Madison Ave
Lakewood, OH 44107-4010
Registry dates
- Enumerated
- 2023-10-09
- 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.