Individual
DR. JASON TERRANCE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 N BROAD ST, WINDER, GA 30680-2150
(770) 867-3400
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301110953
MI
208600000X
Surgery Physician
Primary
81174
GA
Other
Enumeration date
05/07/2007
Last updated
11/12/2024
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