Provider Demographics
NPI:1770718330
Name:BELL, CLAYTON E SR (DC, CCEP)
Entity type:Individual
Prefix:DR
First Name:CLAYTON
Middle Name:E
Last Name:BELL
Suffix:SR
Gender:M
Credentials:DC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 CAMPBELLTON RD SW STE G-H
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-4511
Mailing Address - Country:US
Mailing Address - Phone:404-349-8221
Mailing Address - Fax:404-349-5138
Practice Address - Street 1:2905 CAMPBELLTON RD SW STE G-H
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-4511
Practice Address - Country:US
Practice Address - Phone:404-349-8221
Practice Address - Fax:404-349-5138
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002929111NN1001X, 111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation