MEDICARE: TONIA LOUISE BELL CERTIFIED HAIR LOSS

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	1744P3200X	Prosthetics Case Management

General Provider Information

NPI Number	:	1306269121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONIA LOUISE BELL CERTIFIED HAIR LOSS

Provider Business Mailing Address
First Line	:	6944 BUCKHORN DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3211
Country	:	US
Telephone Number	:	706-587-2553
Fax Number	:

Provider Business Practice Location Address
First Line	:	6944 BUCKHORN DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-3211
Country	:	US
Telephone Number	:	706-587-2553
Fax Number	:

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

Provider Enumeration Date	:	01/30/2014
Last Update Date	:	01/30/2014

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