MEDICARE: QUANTINNA 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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1730913419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUANTINNA BELLAMY

Provider Business Mailing Address
First Line	:	1308 PEARCES RD
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-7819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1333 SYCAMORE ST
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27801-6061
Country	:	US
Telephone Number	:	919-925-2441
Fax Number	:

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

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	08/27/2024

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Directions to “ QUANTINNA BELLAMY ” Practice Location

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