Provider Demographics
NPI:1194075044
Name:BELL, MARCELLA BARNARD (MED)
Entity type:Individual
Prefix:MRS
First Name:MARCELLA
Middle Name:BARNARD
Last Name:BELL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 BAY ST
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-9124
Mailing Address - Country:US
Mailing Address - Phone:912-227-0141
Mailing Address - Fax:
Practice Address - Street 1:104 BAY ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-9124
Practice Address - Country:US
Practice Address - Phone:912-227-0141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator