Provider Demographics
NPI:1982352944
Name:BELL, SARAH (PA-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:SUNRISE BEACH
Mailing Address - State:TX
Mailing Address - Zip Code:78643-9361
Mailing Address - Country:US
Mailing Address - Phone:210-488-2797
Mailing Address - Fax:
Practice Address - Street 1:9546 S NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5813
Practice Address - Country:US
Practice Address - Phone:865-647-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4857363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant