Wells, Charles Chesley

Wells, Charles Chesley is an sole proprietor health care provider with primary practice located at 435 2Nd St 430, Macon GA 31201-8298. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Wells, Charles Chesley can be contacted via phone (478) 745-5779.

Contact Information

Primary practice address
435 2Nd St 430 Macon GA 31201-8298
Fax: (478) 742-7796
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 019807 Georgia
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D19807 Georgia

Profile Details

NPI number 1053332841
LBN Legal business name Wells, Charles Chesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jun 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053332841 NPPES
Georgia MEDICAID 000260246G
Georgia MEDICAID 000260246H
Georgia MEDICAID 000260246J
Georgia MEDICAID 000260246I
Georgia Other 915875
Georgia MEDICAID 000260246K

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