SHANE ELLISON BELL PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Surgical
Provider Information
- NPI Number
1992568737- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1371 CHURCH STREET EXT NE STE 200, MARIETTA, GA, 300607913
- Phone
- (678) 931-8091
Specialties & Taxonomies
Urology
License: GA #12133
Physician Assistant, Surgical
Primary License: GA #12133