Provider Demographics
NPI:1174245831
Name:BELL, TERRICA K
Entity type:Individual
Prefix:
First Name:TERRICA
Middle Name:K
Last Name:BELL
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 1:959 E MAIN ST APT 123
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-4252
Mailing Address - Country:US
Mailing Address - Phone:803-735-5051
Mailing Address - Fax:803-520-6935
Practice Address - Street 1:959 E MAIN ST APT 123
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-4252
Practice Address - Country:US
Practice Address - Phone:803-735-5051
Practice Address - Fax:803-520-6935
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health