11D0875661 CLIA NUMBER - JAMES O WELLS MD

Laboratory Demographics

CLIA Number: 11D0875661

Facility Name: JAMES O WELLS MD

Facility Address:
2300 HENDERSON MILL ROAD SUITE 421
ATLANTA, GA
ZIP 30345
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Facility Phone Number: 770 934-2585

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1023067725

Taxonomy: 207RN0300X - Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

CLIA Record

Field Name	Field Value
CLIA Number	11D0875661
LAB Type	Physician Office
Facility Name	JAMES O WELLS MD
Street	2300 HENDERSON MILL ROAD SUITE 421
City	ATLANTA
State	GA
ZIP	30345
Phone	770 934-2585
CertificateType	3
CertificateEffectiveDate	8/30/2023
CertificateExpirationDate	8/29/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024