Individual
DR. RICHARD ELLIOTT WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 984-5650
(601) 984-5658
Mailing address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 984-5650
(601) 984-5658
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
24334
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08135221
—
MS
Enumeration date
07/27/2009
Last updated
11/01/2016
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