# WAYNE O. WELLS, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861681561
- **Authorized official:** WAYNE O. WELLS M.D. (OWNER)
- **Authorized official phone:** (615) 443-0730

## Contact information

- **Practice address:** 1420 W BADDOUR PKWY STE 130, LEBANON, TN 37087-1510
- **Practice address phone:** (615) 443-0730
- **Practice address fax:** (615) 443-0722
- **Mailing address:** PO BOX 98, LEBANON, TN 37088-0098
- **Mailing address phone:** (615) 443-0730
- **Mailing address fax:** (615) 443-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19895 | TN | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 10/18/2007