Southside Family Medicine, Inc.

NPI #1649463431 in Southside, Alabama

Provider Information

NPI Number: 1649463431
Entity Type: Organization
Organization Name: Southside Family Medicine, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Aug 24, 2007
Last Updated: Aug 24, 2007

Practice Location

Address: 1602 HIGHWAY 77
City: Southside
State: Alabama
ZIP Code: 35907-0100
Phone: (256) 442-7423

Authorized Official

Name: DR. LISA A FLORENCE, D.O.
Title: VICE PRESIDENT
Phone: (256) 442-7423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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