Wellstar Medical Group, LLC
Wellstar Medical Group, LLC provides Clinical Neurophysiology Physician services in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
677 Church St NEMarietta, GA 30060-1101 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 793-6695
Fax: (770) 793-7997
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neurophysiology Physician (primary) | Taxonomy 2084N0600X (GA) |
|---|
Record details
| NPI number | 1689967697 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Wellstar Medical Group, LLC |
| Authorized official | Nicole Ashe — Executive Director Of Finance · (470) 644-0095 |
| Other names | Wellstar Neuropsychology |
| NPI enumerated | May 24, 2011 |
| Last updated in NPPES | November 18, 2013 |
| Mailing address | 677 Church St Ne, Marietta, GA 30060-1101 |
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Dr. Joseph Hormes, MD, MPH
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Craig G. Johnson, MD
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Marat L Reyzelman, MD
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Mr. Cameron Christopher Adam Smothers, BS, CNIM
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