Provider Demographics
NPI:1225246192
Name:WELLS, JILL RAZOR (MD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:RAZOR
Last Name:WELLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1365B CLIFTON RD NE,
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-778-5163
Mailing Address - Fax:404-778-4434
Practice Address - Street 1:1365B CLIFTON RD NE,
Practice Address - Street 2:SUITE 2500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-5163
Practice Address - Fax:404-778-4434
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2019-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL27600207W00000X
GA62451207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology