Individual
CHAD JAMES BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 300, GAINESVILLE, GA 30501-3875
(770) 219-6520
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA-865
AL
363AM0700X
Medical Physician Assistant
TA.1747
AL
363AS0400X
Surgical Physician Assistant
Primary
006692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003130433A
—
GA
01
—
P01155968
RR MEDICARE
GA
Enumeration date
10/05/2012
Last updated
04/08/2024
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