Provider Demographics
NPI:1528501517
Name:BELL, TABITHA RICHELLE
Entity type:Individual
Prefix:MS
First Name:TABITHA
Middle Name:RICHELLE
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6379 PLANTATION DR
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37416
Mailing Address - Country:US
Mailing Address - Phone:423-755-3025
Mailing Address - Fax:
Practice Address - Street 1:6379 PLANTATION DR
Practice Address - Street 2:
Practice Address - City:CHATT
Practice Address - State:TN
Practice Address - Zip Code:37416
Practice Address - Country:US
Practice Address - Phone:423-755-3025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-23
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide