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Organization

SOUTHSIDE ENDOCRINOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID SAMUEL HENRY BELL M.D. (PRESIDENT)
(205) 957-0034
Entity
Organization

Contact information

Practice address
1900 CRESTWOOD BLVD, STE 201, IRONDALE, AL 35210-2051
(205) 957-0034
(205) 957-0036
Mailing address
1900 CRESTWOOD BLVD, STE 201, IRONDALE, AL 35210-2051
(205) 957-0034
(205) 957-0036

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9301
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L192
MEDICARE PTAN
AL
Enumeration date
01/15/2007
Last updated
08/31/2016
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