Wells, Sam Evan

Wells, Sam Evan is an individual health care provider with primary practice located at 526 Lake Vista Dr , Jefferson GA 30549-4620. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Wells, Sam Evan can be contacted via phone (706) 338-4139.

Contact Information

Primary practice address
526 Lake Vista Dr Jefferson GA 30549-4620
Phone: (706) 338-4139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Georgia

Profile Details

NPI number 1548903529
LBN Legal business name Wells, Sam Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2022
Last updated Apr 18th, 2022 - about 4 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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