MEDICARE: BRITTANY JAMES WELLS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	0010-05664	NC

General Provider Information

NPI Number	:	1417349937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY JAMES WELLS PA-C

Provider Business Mailing Address
First Line	:	115 E MAIN ST STE 8
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-2482
Country	:	US
Telephone Number	:	252-776-0153
Fax Number	:	252-350-5238

Provider Business Practice Location Address
First Line	:	224 GREEN ST
Second Line	:
City	:	WILLIAMSTON
State	:	NC
Zip	:	27892-2000
Country	:	US
Telephone Number	:	252-776-0153
Fax Number	:	252-350-5238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2015
Last Update Date	:	05/19/2026

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