Individual
JAMES SHELTON WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5024 BOULDER RUN RD, HILLSBOROUGH, NC 27278-8301
(919) 967-6353
(919) 933-6333
Mailing address
5024 BOULDER RUN RD, HILLSBOROUGH, NC 27278-8301
(919) 967-6353
(919) 933-6333
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
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