Southside Medical Service LLC

NPI #1639767742 in Pell City, Alabama

Provider Information

NPI Number
1639767742
Entity Type
Organization
Organization Name
Southside Medical Service LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jan 5, 2021
Last Updated
Jan 5, 2021

Practice Location

Address
510 WOLF CREEK RD N
State
Alabama
ZIP Code
35125-2477
Phone
(205) 753-3462

Authorized Official

Name
STEPHEN FORTSON, MD
Title
OWNER/MD
Phone
(205) 753-3462

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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