Wells, James Mickey
Wells, James Mickey is an individual health care provider with primary practice located at 80 Newnan Station Drive, Suite A , Newnan GA 30265. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Wells, James Mickey can be contacted via phone (770) 251-2060.Contact Information
Primary practice address
80 Newnan Station Drive, Suite A
Newnan GA 30265
Phone: (770) 251-2060
Fax: (678) 854-9235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN077790 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN077790 | Georgia |
Profile Details
NPI number | 1326044090 |
---|---|
LBN Legal business name | Wells, James Mickey |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Apr 16th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326044090 | NPPES |
Georgia | MEDICAID | 000535565G |
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