Healthcare Provider Details

I. General information

NPI: 1255241329
Provider Name (Legal Business Name): JADA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HIGHWAY 155 N
MCDONOUGH GA
30252-4802
US

IV. Provider business mailing address

8510 GLENDEVON CT
RIVERDALE GA
30274-4576
US

V. Phone/Fax

Practice location:
  • Phone: 678-379-1010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH036453
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: