Provider First Line Business Practice Location Address:
2540 WINDY HILL ROAD
Provider Second Line Business Practice Location Address:
WELLSTAR PSYCHIATRY, LLC
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-644-1570
Provider Business Practice Location Address Fax Number:
770-644-1576
Provider Enumeration Date:
10/15/2010