Organization
SOUTHSIDE FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A FLORENCE D.O. (VICE PRESIDENT)
(256) 442-7423
Entity
Organization
Contact information
Practice address
1602 HIGHWAY 77, SOUTHSIDE, AL 35907-0100
(256) 442-7423
(256) 442-6762
Mailing address
1602 HIGHWAY 77, SOUTHSIDE, AL 35907-0100
(256) 442-7423
(256) 442-6762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0920
AL
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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