Individual
KADECHA VONTRESE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
95 BUSH ST, RICHLAND, GA 31825-6127
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095386
GA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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