Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Welllcare Surgical Assisting

Organization Surgical Physician Assistant · NPI 1043601016

Welllcare Surgical Assisting is a Surgical Physician Assistant in Marietta, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4455 Lowr Roswell RD 684121
Marietta, GA 30068-0149
Phone: (770) 490-8645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1043601016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Dalton — Ceo · (770) 490-8645
NPI enumeratedFebruary 12, 2015
Last updated in NPPESMarch 22, 2017
Mailing address4455 Lower Roswell Rd, 684121, Marietta, GA 30068-0149

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