Provider Demographics
NPI:1649474305
Name:BELLAMY, CHARNER SUE (NP)
Entity type:Individual
Prefix:MRS
First Name:CHARNER
Middle Name:SUE
Last Name:BELLAMY
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Gender:F
Credentials:NP
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Mailing Address - Street 1:1776 OLD SPRING HOUSE LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6225
Mailing Address - Country:US
Mailing Address - Phone:770-454-0091
Mailing Address - Fax:770-454-0091
Practice Address - Street 1:1776 OLD SPRING HOUSE LN
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-6225
Practice Address - Country:US
Practice Address - Phone:770-454-0091
Practice Address - Fax:770-454-0091
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GARN026192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA556454Medicare UPIN