Individual
DR. JAMES O. WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 HENDERSON MILL RD NE, SUITE 421, ATLANTA, GA 30345-2745
(770) 934-2585
(770) 493-6526
Mailing address
2249 GREENCREST DR NE, ATLANTA, GA 30345-2663
(770) 934-2585
(770) 493-6526
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
13702
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000081683F
—
GA
01
—
200045048
BLUE SHIELD
GA
01
—
CLIA
11D0875661
GA
Enumeration date
05/09/2006
Last updated
03/10/2015
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