Individual
SAMUEL PRESTON WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-5411
Mailing address
537 LAY HOLLOW RD, WAYNESBORO, TN 38485-3811
(931) 722-2212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
29408
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP231702
ME
Other
Enumeration date
05/03/2021
Last updated
06/12/2024
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