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NPI Code Detail

MEDICARE: SEI BELLO, LLC

MEDICARE: SEI BELLO, LLC
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
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1215408208
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEI BELLO, LLC
Provider Business Mailing Address
First Line : 3645 MARKETPLACE BLVD # 130 420
Second Line :
City : EAST POINT
State : GA
Zip : 30344-5747
Country : US
Telephone Number : 678-519-0334
Fax Number :
Provider Business Practice Location Address
First Line : 4850 SUGARLOAF PKWY STE 501
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30044-2864
Country : US
Telephone Number : 678-519-0334
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. ANISHUA ROBERTS
Credential :
Telephone Number : 678-519-0334
Provider Enumeration Date : 12/17/2018
Last Update Date : 01/24/2019

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Directions to “SEI BELLO, LLC ” Practice Location

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