Individual
SUSAN BAILEY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
65 INTERNATIONAL DR, GREENVILLE, SC 29615-4816
(864) 987-7000
(864) 672-7852
Mailing address
1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 29615-4536
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1336
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
09/29/2008
Last updated
03/14/2017
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