Provider Demographics
NPI:1720779960
Name:MANDI ALLEN BELL MD PC
Entity type:Organization
Organization Name:MANDI ALLEN BELL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MANDI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ALLEN-BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-647-1550
Mailing Address - Street 1:208 PARKS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2506
Mailing Address - Country:US
Mailing Address - Phone:256-574-1000
Mailing Address - Fax:256-259-5954
Practice Address - Street 1:208 PARKS AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2506
Practice Address - Country:US
Practice Address - Phone:256-574-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty