Individual
MR. WILLIE L WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 EAST CALHOUN ST, BRUCE, MS 38915
(662) 983-2151
(662) 983-7151
Mailing address
PO BOX 902, BRUCE, MS 38915
(662) 983-2151
(662) 983-7151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09661
MS
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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