Provider Demographics
NPI:1396061511
Name:BELL, WENDY ARLENE (RPSGT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ARLENE
Last Name:BELL
Suffix:
Gender:F
Credentials:RPSGT
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:ARLENE
Other - Last Name:WEYGANT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPSGT
Mailing Address - Street 1:270 MINOR RD NE
Mailing Address - Street 2:
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-9290
Mailing Address - Country:US
Mailing Address - Phone:478-453-5603
Mailing Address - Fax:
Practice Address - Street 1:270 MINOR RD NE
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-9290
Practice Address - Country:US
Practice Address - Phone:478-453-5603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6080246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other