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Individual

LEONA WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPH

Contact information

Practice address
166 BLAKE LN, ELLENWOOD, GA 30294-2844
(843) 453-5421
Mailing address
166 BLAKE LN, ELLENWOOD, GA 30294-2844
(843) 453-5421

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
GA
174H00000X
Health Educator
GA

Other

Enumeration date
01/24/2026
Last updated
01/24/2026
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