MEDICARE: MONICA DENISE BELL DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	112040	GA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1154172427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA DENISE BELL DO

Provider Business Mailing Address
First Line	:	4500 N SHALLOWFORD RD
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338-6476
Country	:	US
Telephone Number	:	404-778-6920
Fax Number	:	404-778-6901

Provider Business Practice Location Address
First Line	:	4500 NORTH SHALLOWFORD ROAD
Second Line	:
City	:	DUNWOODY
State	:	GA
Zip	:	30338
Country	:	US
Telephone Number	:	404-778-6920
Fax Number	:	404-778-6901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2024
Last Update Date	:	06/26/2026

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