| Doctor Name: | CONNIE W WELLS |
| NPI Number: | 1639101496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ATC, LAT, LMBT |
| License Number: | CERTIFICATION |
| Business Practice Address: | 599 Garner Chapel Rd Mount Olive, NC - 283656146 |
| Business Phone Number: | 9196580476 |
| Business Fax Number: | |
| Mailing Address: | 599 Garner Chapel Rd, MOUNT OLIVE |
| State: | NC |
| Postal Code: | 283656146 |
| Phone Number: | 9196580476 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | CERTIFICATION |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |