Organization
5AM P.C.
Active
Other names
5AM Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TERRANCE WELLS MD (SURGEON/CEO)
(734) 320-3880
Entity
Organization
Contact information
Practice address
475 HANSELL ST SE, CAIRO, GA 39828-3071
(713) 859-2854
Mailing address
475 HANSELL ST SE, CAIRO, GA 39828-3071
(713) 859-2854
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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