| Organization Name: | WELLSTAR HEALTH SYSTEM |
| NPI Number: | 1568713550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALISON KRAUSE (MEDICAL DIRECTOR) |
| Mailing Address: | 3630 Edenbourgh Pl Marietta |
| State: | GA US |
| Postal Code: | 300663081 |
| Phone Number: | 4043884800 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2012 |
| NPI Last Update Date: | 10/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1336113919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |