Provider Demographics
NPI:1043339450
Name:BELL, TERESA M (MED)
Entity Type:Individual
Prefix:MS
First Name:TERESA
Middle Name:M
Last Name:BELL
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 MIDLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:COROLLA
Mailing Address - State:NC
Mailing Address - Zip Code:27927-0000
Mailing Address - Country:US
Mailing Address - Phone:252-453-9566
Mailing Address - Fax:
Practice Address - Street 1:2013 MIDLAND ROAD
Practice Address - Street 2:
Practice Address - City:COROLLA
Practice Address - State:NC
Practice Address - Zip Code:27927-0000
Practice Address - Country:US
Practice Address - Phone:252-453-9566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health