Individual
MS. PENNY LASALLE BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3106 BROAD RIVER RD STE 3, COLUMBIA, SC 29210-5900
(252) 508-8567
Mailing address
3106 BROAD RIVER RD UNIT 3, COLUMBIA, SC 29210
(252) 508-8567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NH3973
NC
Other
Enumeration date
07/24/2026
Last updated
07/24/2026
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