Basic Information
| Provider Information | |||||||||
| NPI: | 1508898727 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 701 MEDICAL PARK DR | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | HARTSVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295504777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433835191 | ||||||||
| FaxNumber: | 8433322240 | ||||||||
| Practice Location | |||||||||
| Address1: | 701 MEDICAL PARK DR | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | HARTSVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295504777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8433835191 | ||||||||
| FaxNumber: | 8433322240 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 06/24/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5676 | SC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.