Individual
KATHRYN MICHELLE WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 LANDING DR, NORTH AUGUSTA, SC 29841-5403
(704) 488-3958
Mailing address
105 LANDING DR, NORTH AUGUSTA, SC 29841-5403
(704) 488-3958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10210
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2019
Last updated
05/03/2021
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