Organization
EXCELSIOR PODIATRY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BELL DPM (DOCTOR)
(901) 516-4005
Entity
Organization
Contact information
Practice address
214 LAKEVIEW RD, SOMERVILLE, TN 38068-9737
(901) 516-4005
(901) 516-4023
Mailing address
PO BOX 460, OAKLAND, TN 38060-0460
(901) 516-4005
(901) 516-4023
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0000000649
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33542121
—
TN
Enumeration date
02/28/2008
Last updated
04/13/2010
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