Individual
MRS. NANCY R WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 PERIMETER PARK DR, SUITE # 102, ATLANTA, GA 30341
(770) 454-8126
(770) 454-9987
Mailing address
27 BASSWOOD CIR, ATLANTA, GA 30328-4514
(770) 454-8126
(770) 454-9987
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00254317A
—
GA
Enumeration date
12/01/2006
Last updated
07/08/2007
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