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WELLSTREET OF GEORGIA PC
NPI 1316600760
Non-Pharmacy Dispensing Site in Marietta, GA

Active since October 21, 2021
789 CHURCH ST NE, MARIETTA, GA 30060(770) 881-7964 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstreet Of Georgia Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSTREET OF GEORGIA PC (NPI 1316600760) is a healthcare organization registered as a non-pharmacy dispensing site in Marietta, Georgia and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Woodstock and lists Heather Brock, Cred Supervisor, as its authorized official.

NPPES Registry Identity

NPI1316600760
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameWELLSTREET OF GEORGIA PC
Location Address789 CHURCH ST NEMarietta, GA 30060-7237
Mailing Address3350 Riverwood Pkwy Se Ste 1850Atlanta, GA 30339-3300
Phone(770) 881-7964
Organization SubpartNo
Authorized OfficialHeather BrockCred Supervisor · (678) 770-9005
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1316600760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
789 CHURCH ST NE, Marietta, GA 30060
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Secondary Practice Location 1

Location 17820 Hickory Flat HwyWoodstock, GA 30188-2099 · Phone (678) 672-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellstreet Of Georgia PC's NPI number?

The NPI number for Wellstreet Of Georgia PC is 1316600760. It was assigned to this organization in the NPPES registry on October 21, 2021.

Where is Wellstreet Of Georgia PC located?

Wellstreet Of Georgia PC is located at 789 Church St NE, Marietta, GA 30060. The listed phone number is (770) 881-7964.

What is Wellstreet Of Georgia PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Wellstreet Of Georgia PC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.