Individual
PAIGE JULIAN WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
352 LANGSTON CHAPEL RD, STATESBORO, GA 30458-2478
(937) 974-9871
Mailing address
352 LANGSTON CHAPEL RD, STATESBORO, GA 30458-2478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002498
GA
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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