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Charles C Wells
Multi-Specialty Clinic/Center in Macon, Georgia
NPI 1376743880

Charles C Wells is a Multi-Specialty Clinic/Center based in Kennesaw, GA and is specialized in Multi-Specialty. Charles C Wells practices in Macon, GA. The NPI Number for Charles C Wells is 1376743880 and holds a License No. (Georgia).

The current practice location address for Charles C Wells is 770 Hemlock St, Macon, GA and can be reached out via phone at 478-745-5125.

Location: 770 Hemlock St, Macon, GA, 30144-5598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376743880
Provider Name
Charles C Wells
Credential
Provider Entity Type
Organization
Address
770 Hemlock St, Macon, GA, 30144-5598
Phone Number
478-745-5125
Fax Number
Provider Enumeration Date
07/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
915875 01 BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
770 Hemlock St
City
Macon
State
Georgia
Zip
31201-2170
Phone Number
478-745-5125
Fax Number
person
Provider Business Mailing Address Details
Address
770 Hemlock St
City
Macon
State
Georgia
Zip
31201-2170
Phone Number
478-745-5125
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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