Individual
DR. SAMUEL DAVIS WELLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
352 2ND ST NW, SUITE 205, HICKORY, NC 28601-4960
(828) 345-0877
(828) 345-0514
Mailing address
PO BOX 1305, 352 2ND ST NW SUITE 205, HICKORY, NC 28603-1305
(828) 345-0877
(828) 345-0514
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
94-01361
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8986457
—
NC
Enumeration date
12/06/2005
Last updated
03/14/2016
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