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Organization
WELLS MEDICAL CLINIC INC
Active
Organization
WELLS MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE L WELLS MD (PRESIDENT OF WELLS MEDICAL CLINIC)
(662) 983-2151
Entity
Organization
Contact information
Practice address
407 EAST CALHOUN ST, BRUCE, MS 38915
(662) 983-2151
(662) 983-7151
Mailing address
PO BOX 902, BRUCE, MS 38915
(662) 983-2151
(662) 983-7151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09661
MS
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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