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NPI Code Detail

MEDICARE: DR. VIRGINIA JANE BELL-PRINGLE PH.D.

MEDICARE: DR. VIRGINIA JANE BELL-PRINGLE PH.D.
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
1103TC0700XClinical PsychologistPSY002578GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
152186843OTHERGABCBS PROVIDER NUMBER

General Provider Information

NPI Number : 1811035496
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIRGINIA JANE BELL-PRINGLE PH.D.
Provider Business Mailing Address
First Line : 1788 CENTURY BLVD NE STE B
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3321
Country : US
Telephone Number : 678-595-6716
Fax Number :
Provider Business Practice Location Address
First Line : 1788 CENTURY BLVD NE STE B
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3321
Country : US
Telephone Number : 678-595-6716
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2007
Last Update Date : 07/08/2007

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