Healthcare Provider Details

I. General information

NPI: 1730476177
Provider Name (Legal Business Name): BELL FAMILY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 COUNTRY DR APT 90
NASHVILLE TN
37211-6480
US

IV. Provider business mailing address

5510 COUNTRY DR APT 90
NASHVILLE TN
37211-6480
US

V. Phone/Fax

Practice location:
  • Phone: 615-837-2179
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIANA IHUARUGO IWUAGWU
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 615-361-5670