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NPI Code Detail

MEDICARE: SHUNDRIA BELL

MEDICARE:   SHUNDRIA  BELL
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
1164W00000XLicensed Practical NurseLPN084678GA

General Provider Information

NPI Number : 1578342515
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHUNDRIA BELL
Provider Business Mailing Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : ATLANTA
State : GA
Zip : 30328-3495
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 GLENLAKE PKWY STE 130
Second Line :
City : ATLANTA
State : GA
Zip : 30328-3495
Country : US
Telephone Number : 478-918-6019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2023
Last Update Date : 09/28/2023

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Directions to “ SHUNDRIA BELL ” Practice Location

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