# INFECTIOUS DISEASE SPECIALISTS OF MTG PC

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

## Provider details

- **NPI number:** 1255481230
- **Authorized official:** GLENN D BEDSOLE MD (PRESIDENT - OWNER)
- **Authorized official phone:** (334) 324-8893

## Contact information

- **Practice address:** 1801 PINE ST, MONTGOMERY, AL 36106-0165
- **Practice address phone:** (334) 293-8138
- **Practice address fax:** (334) 293-8134
- **Mailing address:** PO BOX 242848, MONTGOMERY, AL 36124-2848
- **Mailing address phone:** (334) 270-9914
- **Mailing address fax:** (334) 270-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 07/20/2015