| Doctor Name: | DR. CARLOTTA MONIQUE WELLS |
| NPI Number: | 1144341827 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 241 |
| Business Practice Address: | 1707 Eastridge Dr Ste A Magnolia, AR - 717532654 |
| Business Phone Number: | 8702342740 |
| Business Fax Number: | 8702349540 |
| Mailing Address: | 1707 Eastridge Dr Ste A, MAGNOLIA |
| State: | AR |
| Postal Code: | 717532654 |
| Phone Number: | 8702342740 |
| Fax Number: | 8702349540 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 10/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 241 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |