# EXCELSIOR PODIATRY CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003085515
- **Authorized official:** DR. JOHN BELL DPM (DOCTOR)
- **Authorized official phone:** (901) 516-4005

## Contact information

- **Practice address:** 214 LAKEVIEW RD, SOMERVILLE, TN 38068-9737
- **Practice address phone:** (901) 516-4005
- **Practice address fax:** (901) 516-4023
- **Mailing address:** PO BOX 460, OAKLAND, TN 38060-0460
- **Mailing address phone:** (901) 516-4005
- **Mailing address fax:** (901) 516-4023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | DPM0000000649 | TN | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 04/13/2010