Individual
MARVIN WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 LINTON FOREST DR, SANDERSVILLE, GA 31082-9417
(478) 232-1426
Mailing address
119 LINTON FOREST DR, SANDERSVILLE, GA 31082-9417
(478) 232-1426
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85-2316421
—
GA
Enumeration date
08/16/2021
Last updated
08/16/2021
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