Individual
JOHN A WELLS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 SUNSET COURT, WEST COLUMBIA, SC 29169
(803) 931-0077
(803) 931-0076
Mailing address
124 SUNSET COURT, WEST COLUMBIA, SC 29169
(803) 931-0077
(803) 931-0076
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15565
SC
207WX0107X
Retina Specialist (Ophthalmology) Physician
15565
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0623
—
SC
Enumeration date
10/19/2005
Last updated
04/03/2017
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