Organization
EXCELSIOR PODIATRY CLINIC PLLC
Active
Organization
EXCELSIOR PODIATRY CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ELIJAH BELL DPM (CEO, PRESIDENT)
(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
302F00000X
Exclusive Provider Organization
Primary
DPM0000000649
TN
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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