Individual
MRS. DOLORES ANN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30 CHATEAU DR SE, ROME, GA 30161-7201
(706) 235-6581
(706) 291-2753
Mailing address
30 CHATEAU DR SE, ROME, GA 30161-7201
(706) 235-6581
(706) 291-2753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
58135
TN
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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