Individual
BAILEY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1298 N MAIN ST, FUQUAY VARINA, NC 27526-2615
(919) 590-4099
Mailing address
208 ASHLEY BROOK CT, CARY, NC 27513-1644
(859) 435-5174
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0010-09801
NC
363A00000X
Physician Assistant
Primary
0010-09801
NC
363AM0700X
Medical Physician Assistant
0010-09801
NC
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/19/2020
Last updated
06/10/2024
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