Individual
MANDY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
28 WHITE OAK DR SE, CARTERSVILLE, GA 30121-2960
(267) 776-5728
Mailing address
185 W MAIN ST, CENTRE, AL 35960-1323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100269554
GA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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