Individual
DR. GREGORY MATTHEW WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-3319
(334) 793-2291
Mailing address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-3319
(334) 793-2291
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME94925
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938269
—
AL
01
—
051557875
MEDICARE PROVIDER
AL
Enumeration date
04/05/2006
Last updated
05/23/2012
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