MEDICARE: DR. CYNTHIA WELLS MCLEMORE M.D.

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	208D00000X	General Practice Physician	26678	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932281987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA WELLS MCLEMORE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4534
Second Line	:
City	:	PINEHURST
State	:	NC
Zip	:	28374-4534
Country	:	US
Telephone Number	:	910-331-5623
Fax Number	:

Provider Business Practice Location Address
First Line	:	1496 JUNIPER LAKE ROAD
Second Line	:
City	:	WEST END
State	:	NC
Zip	:	27376-8913
Country	:	US
Telephone Number	:	910-331-5623
Fax Number	:	866-481-8357

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	10/31/2024

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