Provider Demographics
NPI:1306269121
Name:BELL, TONIA LOUISE (CERTIFIED HAIR LOSS)
Entity type:Individual
Prefix:
First Name:TONIA
Middle Name:LOUISE
Last Name:BELL
Suffix:
Gender:F
Credentials:CERTIFIED HAIR LOSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6944 BUCKHORN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3211
Mailing Address - Country:US
Mailing Address - Phone:706-587-2553
Mailing Address - Fax:
Practice Address - Street 1:6944 BUCKHORN DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3211
Practice Address - Country:US
Practice Address - Phone:706-587-2553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management