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WELLSTAR PHYSICIANS GROUP ENT, LLC
NPI 1477664613
Otolaryngology in Dallas, GA

Active since August 31, 2006
504 W MEMORIAL DR, DALLAS, GA 30132(770) 505-7190(770) 793-7413 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Physicians Group Ent, Llc NPPES

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

WELLSTAR PHYSICIANS GROUP ENT, LLC (NPI 1477664613) is a healthcare organization registered as an otolaryngology in Dallas, Georgia and active in the NPI registry since August 2006. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1477664613
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameWELLSTAR PHYSICIANS GROUP ENT, LLC
Location Address504 W MEMORIAL DRDallas, GA 30132-4119
Mailing Address504 W Memorial DrDallas, GA 30132-4119 · (770) 505-7190 · Fax (770) 793-7413
Phone(770) 505-7190
Fax(770) 793-7413
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 14, 2008
✔ NPI 1477664613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
504 W MEMORIAL DR, Dallas, GA 30132
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL L VICK
Otolaryngology
504 W MEMORIAL DR
DALLAS, GA 30132
Paulding County (770) 505-7190
MR. BRETT A GREENBLATT MA
Audiologist
504 W MEMORIAL DR
DALLAS, GA 30132
Paulding County (770) 505-7190

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 Wellstar Physicians Group Ent, LLC's NPI number?

The NPI number for Wellstar Physicians Group Ent, LLC is 1477664613. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Wellstar Physicians Group Ent, LLC located?

Wellstar Physicians Group Ent, LLC is located at 504 W Memorial Dr, Dallas, GA 30132. The listed phone number is (770) 505-7190.

What is Wellstar Physicians Group Ent, LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Wellstar Physicians Group Ent, LLC was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.