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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1326044090 NPPES
Georgia MEDICAID 000535565G

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