IndividualActive
Jeremy Wells, M.D.
NPI 1144517822 · Sports Medicine (Family Medicine) Physician · Hattiesburg, MS
Provider details
- NPI number
- 1144517822
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 22493 (MS)
Practice location
103 Medical Park Fl 2
Hattiesburg, MS 39401-9042
Phone: (601) 268-5630
Fax: (601) 579-3285
Mailing address
415 S 28th Ave
Hattiesburg, MS 39401-7246
Registry dates
- Enumerated
- 2011-07-01
- Last updated
- 2024-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.