Provider Demographics
NPI:1891247250
Name:BELL, AMANDA AARON
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:AARON
Last Name:BELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:BELL
Other - Last Name:MUENCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:548 WESTGATE PKWY
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2933
Mailing Address - Country:US
Mailing Address - Phone:334-702-6869
Mailing Address - Fax:334-699-6896
Practice Address - Street 1:548 WESTGATE PKWY
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2933
Practice Address - Country:US
Practice Address - Phone:334-702-6869
Practice Address - Fax:334-699-6896
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine