Wells, Nancy R

Wells, Nancy R is an sole proprietor health care provider with primary practice located at 12 Perimeter Park Dr Suite # 102, Atlanta GA 30341. She recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as her primary health care specialty. Wells, Nancy R can be contacted via phone (770) 454-8126.

Contact Information

Primary practice address
12 Perimeter Park Dr Suite # 102 Atlanta GA 30341
Fax: (770) 454-9987
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Georgia

Profile Details

NPI number 1265500037
LBN Legal business name Wells, Nancy R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1265500037 NPPES
Georgia MEDICAID 00254317A

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