Larry James Bell Jr., RN

Individual provider Active NPI Registered Nurse · College Park, GA

NPI 1447322102 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1447322102
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R130853 (GA)
Practice address
1920 John Wesley Ave
College Park, GA 30337
Phone
(404) 765-4155
Fax
(404) 765-4149
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R130853GAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R130853 GA Yes

Addresses

Primary practice location

1920 John Wesley Ave
College Park, GA 30337

Mailing address

99 Jesse Hill Jr Drive SE
Room 402
Atlanta, GA 30303
Phone (404) 730-1211

Other providers in College Park, GA

All providers in College Park, GA · Registered Nurse in Georgia

Sources for this page

Verify at the official NPI Registry.