Individual
DR. WAYNE O WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 W BADDOUR PKWY, SUITE A, LEBANON, TN 37087-2656
(615) 443-0730
(615) 443-0722
Mailing address
1430 W BADDOUR PKWY, SUITE A, LEBANON, TN 37087-2656
(615) 443-0730
(615) 443-0722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000019895
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3045377
—
TN
Enumeration date
08/02/2005
Last updated
02/15/2021
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