Individual
DR. WELLS MARTIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 MUIRS CHAPEL RD, STE 100, GREENSBORO, NC 27410-6161
(336) 542-2900
(336) 542-2929
Mailing address
1304 KENSINGTON DR, HIGH POINT, NC 27262-7318
(336) 885-9211
(336) 885-9210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300033904
RAILROAD MEDICARE
NC
01
—
54504
BCBSNC
NC
05
—
8954504
—
NC
01
—
P00197098
RRMC - INDIVIDUAL
NC
Enumeration date
01/08/2006
Last updated
09/12/2012
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