Individual
BETTY W BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2939 JEFFERSON ST, MACON, MS 39341-2274
(662) 726-5143
Mailing address
PO BOX 424, MACON, MS 39341-0424
(662) 361-7149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
562076
MS
183700000X
Pharmacy Technician
T012680
MS
Other
Enumeration date
02/01/2021
Last updated
02/08/2021
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