Physician Compare National (NPI:1144341827)

HEALTHCARE PROVIDER: CARLOTTA MONIQUE WELLS DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144341827
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012018955
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070723000590
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WELLS
	Individual professional last name
Provider First Name	CARLOTTA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1132 MALVERN AVE
	Group Practice or individual's line 1 address
City	HOT SPRINGS
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	719016347
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y