Healthcare Provider Details

I. General information

NPI: 1982352944
Provider Name (Legal Business Name): SARAH BELL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9546 S NORTHSHORE DR
KNOXVILLE TN
37922-5813
US

IV. Provider business mailing address

234 E LAKESHORE DR
SUNRISE BEACH TX
78643-9361
US

V. Phone/Fax

Practice location:
  • Phone: 865-647-3440
  • Fax:
Mailing address:
  • Phone: 210-488-2797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4857
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: