NPI age
19 years
Enumerated 2006-08-31
● Active Type 2 · Organization
Subpart
Wellstar Physicians Group Ent, Llc
Wellstar Physicians Group Ent, Llc is 1 of 450 otolaryngology organizations in Georgia.
Primary specialty
Otolaryngology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ashe
Executive Director Of Finance
Last NPPES update
2008-07-14
Source: monthly bulk 2026-05
How this organization compares
Across 450 active otolaryngology providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
504 W Memorial Dr
Dallas, GA 301324119
Mailing address
504 W Memorial Dr
Dallas, GA 301324119
Authorized official
Nicole Ashe
Executive Director Of Finance
📞 7707925261
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Brett Greenblatt, MA Audiologist NPI 1588786867
- Michael Vick Otolaryngology NPI 1073503165
Specialties
-
Otolaryngology PrimaryAn 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...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Wellstar Health System, Inc..
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