Individual
MS. MARY ELLEN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
265 BOULEVARD NE, 3RD FLOOR, ATLANTA, GA 30312
(404) 730-5835
(404) 730-1633
Mailing address
99 JESSE HILL JR DRIVE, ATLANTA, GA 30303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN039513
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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