Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 33587 | NC |
NPI | 1275534968 |
---|---|
Provider Name | Joseph T Bell |
First Address | Pembroke, NC 28372-9129 |
Second Address | Pembroke, NC 28372-9129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 07/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8914628 | (05) | NC |
F81393 | (02) | NC |