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NPI Code Detail

MEDICARE: BETTY D BELLAMY

MEDICARE:   BETTY D BELLAMY
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
1202K00000XPhlebology Physician640GA

General Provider Information

NPI Number : 1598353229
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY D BELLAMY
Provider Business Mailing Address
First Line : 2199 HUNTER CT
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-3780
Country : US
Telephone Number : 706-304-0767
Fax Number :
Provider Business Practice Location Address
First Line : 2199 HUNTER CT
Second Line :
City : COLUMBUS
State : GA
Zip : 31907-3780
Country : US
Telephone Number : 706-304-0767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2021
Last Update Date : 01/07/2021

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Directions to “ BETTY D BELLAMY ” Practice Location

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