Individual
JULIA ELYSE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 BLYTHE BLVD, SUITE 300, CHARLOTTE, NC 28203-5863
(704) 373-0212
(704) 372-1249
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 373-0212
(704) 373-1249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03451
NC
363AS0400X
Surgical Physician Assistant
PA05372
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1436PA
—
SC
05
—
1962698266
—
NC
05
—
8102369
—
NC
Enumeration date
09/20/2007
Last updated
11/13/2018
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