MEDICARE: HANNA AVERILL DEMEESTER 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
1	363A00000X	Physician Assistant	11445	GA

General Provider Information

NPI Number	:	1942970959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA AVERILL DEMEESTER BELL

Provider Business Mailing Address
First Line	:	1036 ORMEWOOD AVE SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-2483
Country	:	US
Telephone Number	:	703-431-0256
Fax Number	:

Provider Business Practice Location Address
First Line	:	1364 CLIFTON RD NE UNIT 5E
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1063
Country	:	US
Telephone Number	:	704-431-0256
Fax Number	:

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

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	01/13/2026

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