Individual provider · NPI-1

Tijuana Bellamy, M.A., M.B.A.

Student in an Organized Health Care Education/Training Program · Lithonia, GA

NPI number1376093823
StatusActive
Last updated in NPPESOct 8, 2016

Details

NPI
1376093823
Entity type
Individual (NPI-1)
Name
Tijuana Bellamy
Credential
M.A., M.B.A.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 8, 2016
Last updated
Oct 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3260 Hilson Head Ln
Lithonia, GA 30038-5366

Phone 678-775-8051 · Fax 678-825-2828

Mailing address

3260 Hilson Head Ln
Lithonia, GA 30038-5366

Phone 678-775-8051 · Fax 678-825-2828

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