Individual
DR. JEREMY CLADY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Mailing address
3696 WHEELER RD, AUGUSTA, GA 30909-6520
(706) 831-7620
(706) 736-1830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002455
GA
207RH0003X
Hematology & Oncology Physician
Primary
064230
GA
207RH0003X
Hematology & Oncology Physician
36611
SC
Other
Enumeration date
06/28/2007
Last updated
01/25/2022
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