Organization
JOHN A WELLS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A WELLS MD (SOLE OWNER)
(478) 405-7977
Entity
Organization
Contact information
Practice address
440 CHARTER BLVD, SUITE 3302, MACON, GA 31210-4857
(478) 405-7977
Mailing address
440 CHARTER BLVD, SUITE 3302, MACON, GA 31210-4857
(478) 405-7977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000071376B
—
GA
Enumeration date
03/08/2011
Last updated
05/10/2011
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