Individual
CARLTON L WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3300 SOUTH BLDG, 397 LITTLE NECK RD STE 100, VA BEACH, VA 23452
(757) 470-5570
(757) 227-3377
Mailing address
397 LITTLE NECK RD, 3300 SOUTH BLDG, SUITE 100, VIRGINIA BEACH, VA 23452
(757) 470-5570
(757) 227-3377
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0110840354
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970025366
MEDICARE RAILROAD
—
Enumeration date
02/01/2006
Last updated
10/21/2011
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