Individual
PAULINE MARIE BELLECCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3424 HWY 252 EAST, FOLKSTON, GA 31537
(912) 496-6025
Mailing address
PO BOX 777, WAYCROSS, GA 31502-0777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032345
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032345
GA LICENSE
GA
01
—
110045694
PALMETTO GBA MEDICARE
GA
01
—
ME95858
FLORIDA STATE LICENSE
FL
01
—
N6950
ARKANSAS STATE LICENSE
AR
Enumeration date
04/08/2006
Last updated
07/29/2021
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