Individual
GEORGE R. WELLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 11TH AVE S, BIRMINGHAM, AL 35205-3423
(205) 930-7246
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
00015913
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000079846
—
AL
01
—
051595537
BLUE CROSS
AL
01
—
051595538
BLUE CROSS
AL
05
—
106761
—
AL
05
—
107155
—
AL
01
—
P00821356
RAILROAD MEDICARE
AL
Enumeration date
10/31/2005
Last updated
07/25/2011
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