Provider Demographics
NPI:1902227374
Name:BELL, GEORGIA A (RN)
Entity Type:Individual
Prefix:MS
First Name:GEORGIA
Middle Name:A
Last Name:BELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:GEORGIA
Other - Middle Name:ANN
Other - Last Name:BELL-CODINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:15 PEARL ST. E
Mailing Address - Street 2:ELEMENTARY SCHOOL HEALTH OFFICE
Mailing Address - City:SIDNEY
Mailing Address - State:NY
Mailing Address - Zip Code:13838
Mailing Address - Country:US
Mailing Address - Phone:607-561-7705
Mailing Address - Fax:607-563-9257
Practice Address - Street 1:15 PEARL ST. E
Practice Address - Street 2:ELEMENTARY SCHOOL HEALTH OFFICE
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838
Practice Address - Country:US
Practice Address - Phone:607-561-7705
Practice Address - Fax:607-563-9257
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY378415-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse