Wellstreet Of Georgia Pc

Specialty details in registry · Loganville, GA

Call (470) 395-6793 Directions

At a glance

4763 Atlanta Hwy Ste 420, Loganville, GA 30052-6788

NPPES record updated Jun 16, 2018. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

4763 Atlanta Hwy Ste 420
Loganville, GA 30052-6788
Professional details: NPI, taxonomy & registry record
NPI1861980955
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332900000X
Enumeration date
Apr 25, 2018
Record updated
Jun 16, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

332900000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4763 Atlanta Hwy Ste 420
Loganville, GA 30052-6788
Phone
(470) 395-6793
Mailing address
3350 RIVERWOOD PKWY SE STE 1850

ATLANTA, GA 303393300
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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