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Organization

INFECTIOUS DISEASE SPECIALISTS OF MTG PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN D BEDSOLE MD (PRESIDENT - OWNER)
(334) 324-8893
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
528801490
AL
Enumeration date
01/11/2007
Last updated
07/20/2015
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