Provider Demographics
NPI:1033418199
Name:WELCOME MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:WELCOME MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEETA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-753-4884
Mailing Address - Street 1:11205 ALPHARETTA HWY STE B-6A
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-5644
Mailing Address - Country:US
Mailing Address - Phone:770-753-4884
Mailing Address - Fax:770-753-0507
Practice Address - Street 1:11205 ALPHARETTA HWY STE B-6A
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5644
Practice Address - Country:US
Practice Address - Phone:770-753-4884
Practice Address - Fax:770-753-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA32449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty