Provider Demographics
NPI:1023715067
Name:BELL, NATHANIEL ADAM (DC)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:ADAM
Last Name:BELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 PARKWAY DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-1472
Mailing Address - Country:US
Mailing Address - Phone:205-516-0861
Mailing Address - Fax:
Practice Address - Street 1:878 PARKWAY DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-1472
Practice Address - Country:US
Practice Address - Phone:205-516-0861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO10934111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician