Individual
LOUCREISE M BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
165 ANNABERG PL, MCDONOUGH, GA 30253-8380
(618) 581-5818
Mailing address
165 ANNABERG PL, MCDONOUGH, GA 30253-8380
(618) 581-5818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
085297
GA
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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