Individual
TIMOTHY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 577-5011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4069
AK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4069
AK
207RP1001X
Pulmonary Disease Physician
Primary
4069
AK
Other
Enumeration date
03/18/2006
Last updated
09/18/2019
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