OrganizationWellstar Towne Lake Medical Center, LlcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address145 N Medical Pkwy, Woodstock, GA 30189-7031(770) 592-3000PECOS EnrollmentBased on the most recent information from CMS, provider Wellstar Towne Lake Medical Center, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1164478426Provider TypeOrganizationFull NameWellstar Towne Lake Medical Center, LlcSubpartYesEnumeration Date5/26/2006Last Updated7/14/2008Contact InformationPractice LocationPractice Address145 N Medical Pkwy, Woodstock, GA 30189-7031Phone(770) 592-3000Fax(770) 592-3012Mailing LocationMailing Address145 N Medical Pkwy, Woodstock, GA 30189-7031Phone(770) 592-3000Fax(770) 592-3012Authorized OfficialNameAshe, Nicole (Executive Director Of Finance)Phone(770) 792-5261Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer