NPI 1023138161

Larry Wellman

Practitioner Lodging Provider Wilson, NC

Practice location

Address: 410 Garner St W, Wilson, NC 27893-2835
Phone: (252) 237-4242
Fax: (252) 237-8917
Mailing address: 410 Garner St W P.O. Box 694, Wilson, NC 27893-2835

Registered specialties (2)

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence MHL098077 (NC)

Other Lodging providers in North Carolina →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Carolina →

Registry record

NPI: 1023138161
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Mar 2007
Record last updated: 10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.