person
Grover Ashton Wells III, MD
Specialist in Andalusia, Alabama
NPI 1215974233

Grover Ashton Wells III is a Specialist based in Andalusia, AL. Grover Ashton Wells III practices in Andalusia, AL and has the professional credentials of MD. The NPI Number for Grover Ashton Wells III is 1215974233 and holds a License No. 23300 (Alabama).

The current practice location address for Grover Ashton Wells III is 125 Medical Park Dr, Andalusia, AL and can be reached out via phone at 334-222-4191 and via fax at 334-222-9069. You can also correspond with Grover Ashton Wells III through the mailing address at PO BOX 158, ANDALUSIA, AL - 36420-1202 (mailing address contact number: 334-222-4191).

Location: 125 Medical Park Dr, Andalusia, AL, 36420-1202
person
Provider Profile Details
NPI Number
1215974233
Provider Name
Grover Ashton Wells III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
125 Medical Park Dr, Andalusia, AL, 36420-1202
Phone Number
334-222-4191
Fax Number
334-222-9069
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51097094 01 AL BLUE CROSS BLUE SHIELD AL
009926920 05 AL
51094943 01 AL BLUE CROSS BLUE SHIELD AL
institution
Provider Business Practice Location Address Details
Address
125 Medical Park Dr
City
State
Zip
36420-5316
Phone Number
334-222-4191
Fax Number
334-222-9069
person
Provider Business Mailing Address Details
Address
Po Box 158
City
State
Zip
36420-1202
Phone Number
334-222-4191
Fax Number
334-222-9069
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
23300 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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