Individual
LAWANDA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DIRECTOR
Contact information
Practice address
669 TIPPERARY RD, HAMPTON, GA 30228-2348
(347) 737-4041
(678) 210-8850
Mailing address
669 TIPPERARY RD, HAMPTON, GA 30228-2348
(347) 737-4041
(678) 210-8850
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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