Organization
EUGENE C WELLS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE C WELLS MD (PRESIDENT)
(423) 768-2525
Entity
Organization
Contact information
Practice address
1720 DAVIE AVE, STATESVILLE, NC 28677
(704) 871-0081
(704) 871-0086
Mailing address
PO BOX 1164, STATESVILLE, NC 28687
(423) 768-2525
(423) 768-2525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890145R
—
NC
Enumeration date
12/06/2006
Last updated
08/22/2020
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