Individual
JAMES LEROY WELLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1595 CAROLINA AVENUE, ORANGEBURG, SC 29115-4940
(803) 534-3092
(803) 531-4698
Mailing address
1595 CAROLINA AVENUE, ORANGEBURG, SC 29115-4940
(803) 534-3092
(803) 531-4698
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
7836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078365
—
SC
Enumeration date
11/21/2006
Last updated
04/23/2013
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