Individual
BRUCE H WELLMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 PROFESSIONAL PARK, GAFFNEY, SC 29340-2319
(864) 487-5516
(864) 487-3477
Mailing address
PO BOX 1436, GAFFNEY, SC 29342-1436
(864) 487-5516
(864) 487-3477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
86
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PD0868
—
SC
Enumeration date
10/03/2007
Last updated
10/26/2007
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