Individual
LEAH WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2097 HENRY TECKLENBURG DR STE 201W, CHARLESTON, SC 29414-5739
(843) 402-1211
(843) 606-8088
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21167
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4638
—
SC
Enumeration date
07/28/2017
Last updated
07/03/2020
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