Physician Compare National (NPI:1407881253)

HEALTHCARE PROVIDER: DUNCAN WELLS M.D.

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

Individual Professional Information
NPI	1407881253
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244294403
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090319000471
	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	DUNCAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	DIAGNOSTIC RADIOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GENERAL SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 3	HAND SURGERY
	Third secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 4	PHYSICAL MEDICINE AND REHABILITATION
	Fourth secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	DIAGNOSTIC RADIOLOGY, GENERAL SURGERY, HAND SURGERY, PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	970 WOODSTOCK PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 310
	Group Practice or individual's line 2 address
City	WOODSTOCK
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	301884869
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHSIDE HOSPITAL CHEROKEE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110035
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLSTAR KENNESTONE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y