Individual
JOHN A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 HOSPITAL DR, SUITE 100, MACON, GA 31217-8023
(478) 751-0183
(478) 746-1471
Mailing address
310 HOSPITAL DR, SUITE 100, MACON, GA 31217-8023
(478) 751-0183
(478) 746-1471
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
010689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000071376B
—
GA
Enumeration date
10/13/2006
Last updated
03/23/2011
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