| Peggy J Wells, MD | |
|
2245 N State St, Clarksdale, MS 38614 | |
| (662) 627-4131 | |
| (662) 627-2702 |
| Full Name | Peggy J Wells |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2245 N State St, Clarksdale, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710001482 | NPI | - | NPPES |
| 00114187 | Medicaid | MS | |
| 113143001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 07070 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy J Wells, MD Po Box 1447, Clarksdale, MS 38614 Ph: (662) 627-4131 | Peggy J Wells, MD 2245 N State St, Clarksdale, MS 38614 Ph: (662) 627-4131 |
Dorcas Poni Eshun, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Ohio Ave, Clarksdale, MS 38614 Phone: 662-624-2504 | |
Carole L Mangrem, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2245 N Starte St, Clarksdale, MS 38614 Phone: 662-627-4131 Fax: 662-627-2702 |