Individual
WILLIAM A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4711 SUNSET BLVD, LEXINGTON, SC 29072-9151
(803) 626-9164
(803) 426-3589
Mailing address
4711 SUNSET BLVD, LEXINGTON, SC 29072-9151
(803) 626-9164
(803) 426-3589
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
045664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000795286F
—
GA
01
—
040015831
MEDICARE RAILROAD
GA
01
—
157315300
EMPLYMENT STANDARD WORKER
—
01
—
245524
BLUE CROSS
GA
01
—
4492627005
CIGNA
—
01
—
5110650
AETNA
—
Enumeration date
02/16/2006
Last updated
11/16/2023
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