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Individual

MRS. EMILY WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4550 COBB PARKWAY NORTH NW STE 101, ACWORTH, GA 30101-4181
(470) 956-0100
(770) 529-0279
Mailing address
8202 WALDEN CROSSING DR, CANTON, GA 30115-9543
(770) 584-9673

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10527
GA

Other

Enumeration date
08/30/2021
Last updated
01/26/2022
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