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Individual

DR. EUGENE C WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1720 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 871-0081
(704) 871-0086
Mailing address
PO BOX 1164, STATESVILLE, NC 28687-1164
(423) 768-2525
(423) 768-2525

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32065
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86473
BCBSNC
NC
05
8986473
NC
Enumeration date
03/19/2007
Last updated
07/08/2007
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