Individual
DR. CHARLES CHESLEY WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 2ND ST, 430, MACON, GA 31201-8298
(478) 745-5779
(478) 742-7796
Mailing address
200 CORPORATE PL, 5B, PEABODY, MA 01960-3840
(978) 536-7400
(978) 536-6141
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
D19807
GA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
019807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000260246G
—
GA
05
—
000260246H
—
GA
05
—
000260246I
—
GA
05
—
000260246J
—
GA
05
—
000260246K
—
GA
01
—
915875
BLUE CROSS
—
Enumeration date
07/21/2006
Last updated
06/07/2012
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