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Contact Information

BRUCE H WELLMON DPM PA
101 PROFESSIONAL PARK
GAFFNEY, SC29340-2319
 Phone: 864-487-5516
 Fax: 864-487-3477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRUCE H WELLMON DPM PA · (Female)

NPI Number 1780677682
Status Active
Credentials
Entity Individual
Enumeration date 08/25/2005
Last updated 08/29/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 216
  • SC License # 86
  • SC Medicaid GP9937
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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