Healthcare Provider Details

I. General information

NPI: 1003916891
Provider Name (Legal Business Name): BELL INTERNAL MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 ATOKA MCLAUGHLIN DRIVE STE 1
ATOKA TN
38004
US

IV. Provider business mailing address

81 ATOKA MCLAUGHLIN DRIVE STE 1
ATOKA TN
38004
US

V. Phone/Fax

Practice location:
  • Phone: 901-837-9910
  • Fax: 901-837-9914
Mailing address:
  • Phone: 901-837-9910
  • Fax: 901-837-9914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number27071
License Number StateTN

VIII. Authorized Official

Name: MRS. ANGELA KAYE PATTON
Title or Position: OFFICE MANAGER
Credential:
Phone: 901-837-9910