MEDICARE: DR. WILLIE W BELL MD

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	207RC0000X	Cardiovascular Disease Physician	027030	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205834181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIE W BELL MD

Provider Business Mailing Address
First Line	:	PO BOX 1377
Second Line	:
City	:	DOUGLAS
State	:	GA
Zip	:	31534-1377
Country	:	US
Telephone Number	:	912-384-1477
Fax Number	:	912-384-1470

Provider Business Practice Location Address
First Line	:	1305 OCILLA RD
Second Line	:
City	:	DOUGLAS
State	:	GA
Zip	:	31533-2209
Country	:	US
Telephone Number	:	912-384-0600
Fax Number	:	912-384-0601

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

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	03/07/2023

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Directions to “ DR. WILLIE W BELL MD” Practice Location

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