NPI | 1053789370 |
---|---|
Doing Business As | STACEY WELLS MD PLLC |
Entity Type | Organization |
Authorized Contact | STACEY M WELLS Hospitalist 678-427-4494 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q2410) |
Enumeration Date | 2015-09-03 |
Last Update Date | 2021-01-14 |