Individual
JACOB RALPH WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(877) 498-4490
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025-01182
NC
208M00000X
Hospitalist Physician
2025-01182
NC
Other
Enumeration date
04/06/2022
Last updated
06/26/2025
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