Provider Demographics
NPI:1215245873
Name:BELL, SHELANDRA (DO)
Entity type:Individual
Prefix:DR
First Name:SHELANDRA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 SPRING RD SE APT 403
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-3801
Mailing Address - Country:US
Mailing Address - Phone:248-219-4219
Mailing Address - Fax:
Practice Address - Street 1:1060 WINDY HILL RD. SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-2021
Practice Address - Country:US
Practice Address - Phone:404-251-1742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-16
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA078750207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine