Shane Ellison Bell, PA-C
Physician Assistant, Surgical in Marietta, GA. Individual provider (NPI-1).
NPI number1992568737
StatusActive
Last updated in NPPESOct 23, 2025
Details
- NPI
- 1992568737
- Entity type
- Individual (NPI-1)
- Name
- Shane Ellison Bell
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2024
- Certification date
- Oct 23, 2025
- Last updated
- Oct 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 12133 | GA | Yes |
| 208800000X | Urology | 12133 | GA |
Practice location
1371 Church Street Ext Ne Ste 200Marietta, GA 30060-7913
Phone 678-931-8091
Mailing address
1551 Janmar RdSnellville, GA 30078-5606
Phone 678-344-8900
Other practice locations
2205 Riverstone Blvd Ste 101
Canton, GA 30114-5250
Canton, GA 30114-5250
Phone 678-344-8900
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