Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 078750 | GA |
NPI | 1215245873 |
---|---|
Provider Name | Dr. Shelandra Bell |
First Address | Smyrna, GA 30080-3801 |
Second Address | Smyrna, GA 30080-2021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2010 |
Last Update Date | 09/11/2017 |