Provider Demographics
NPI:1881430601
Name:BELLAMY, BELINDA D
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:D
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2293 PLEASANT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:LORIS
Mailing Address - State:SC
Mailing Address - Zip Code:29569-6153
Mailing Address - Country:US
Mailing Address - Phone:843-446-4240
Mailing Address - Fax:
Practice Address - Street 1:2293 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:LORIS
Practice Address - State:SC
Practice Address - Zip Code:29569-6153
Practice Address - Country:US
Practice Address - Phone:843-446-4240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC276513163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health