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

Wellstar Douglasville Medical Center at Villa Rica, LLC

Organization Internal Medicine Physician · NPI 1710187455

Wellstar Douglasville Medical Center at Villa Rica, LLC is an Internal Medicine Physician in Villa Rica, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

403 Permian Way Ste A
Villa Rica, GA 30180
Phone: (678) 840-4034
Fax: (770) 840-4035
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1710187455
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Health System, Inc
Authorized official Nicole Ashe — Executive Director Of Finance · (770) 792-5261
NPI enumeratedJuly 20, 2007
Last updated in NPPESJuly 14, 2008
Mailing address403 Permian Way, Suite A, Villa Rica, GA 30180

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