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Individual

DR. PERRY B WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
540 CHARTER BLVD, MACON, GA 31210-4892
(478) 477-3500
(478) 477-3511
Mailing address
PO BOX 26040, MACON, GA 31221-6040
(478) 475-1299

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20498
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20498
GA MEDICAL LICENSE
GA
Enumeration date
11/14/2006
Last updated
03/07/2023
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