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

Wellstar Physicians Group ENT, LLC

Organization Otolaryngology Physician · NPI 1477664613

Wellstar Physicians Group ENT, LLC is an Otolaryngology Physician in Dallas, Georgia. Registered with an NPI since 2006.

In the registry since
2006
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

504 W Memorial Dr
Dallas, GA 30132-4119
Phone: (770) 505-7190
Fax: (770) 793-7413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1477664613
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellstar Health System, Inc
Authorized official Nicole Ashe — Executive Director Of Finance · (770) 792-5261
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 14, 2008
Mailing address504 W Memorial Dr, Dallas, GA 30132-4119

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