Provider Demographics
NPI:1700836038
Name:WELLS, JAMES GUY (DC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:GUY
Last Name:WELLS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 HIGHWAY 321 N
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771-6502
Mailing Address - Country:US
Mailing Address - Phone:865-986-6220
Mailing Address - Fax:865-986-6226
Practice Address - Street 1:785 HIGHWAY 321 N
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771-6502
Practice Address - Country:US
Practice Address - Phone:865-986-6220
Practice Address - Fax:865-986-6226
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1211111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3679225Medicare ID - Type Unspecified
TNU59930Medicare UPIN