Healthcare Provider Details

I. General information

NPI: 1033022561
Provider Name (Legal Business Name): JOEY BELL CPSS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HUDSON ST
CHESTER SC
29706-1524
US

IV. Provider business mailing address

130 HUDSON ST
CHESTER SC
29706-1524
US

V. Phone/Fax

Practice location:
  • Phone: 803-427-2283
  • Fax: 803-581-5380
Mailing address:
  • Phone: 803-427-2283
  • Fax: 803-581-5380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: