Organization · Type 2 NPI

Charles C Wells

Multi-Specialty Clinic/Center · Macon, GA

NPI number 1376743880 Active

Practice location

770 Hemlock St
Macon, GA 31201-2170

Mailing address

60 Chastain Center Blvd NW, Suite 66
Kennesaw, GA 30144-5598

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1376743880

Charles C Wells's National Provider Identifier is 1376743880, issued on Jul 23, 2007. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Macon, GA. The record was last updated on Aug 24, 2007.