Individual
FORREST SIMPSON WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4509 GIBSON RD, OCEAN SPRINGS, MS 39564-6026
(228) 872-3993
(228) 872-3992
Mailing address
4509 GIBSON RD, OCEAN SPRINGS, MS 39564-6026
(228) 872-3993
(228) 872-3992
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
18050
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03479057
—
MS
01
—
P0007341Z
MEDICARE RAILROAD
MS
Enumeration date
07/29/2006
Last updated
05/19/2020
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