Individual
JAMES SHELTON WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22990
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03601771411
ME #
NC
01
—
22990
STATE MEDICAL LICENSE
NC
01
—
27605
PSYCHIATRY BOARD CERT
—
01
—
32646
STATE MEDICAL LICENSE
VA
01
—
34599
APA #
NC
01
—
86484
BCBS
NC
05
—
8986484
—
NC
Enumeration date
09/15/2006
Last updated
11/01/2013
Update your record
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