| Southside Medical Service Llc | |
|
510 Wolf Creek Rd N Pell City AL 35125-2477 | |
| (205) 753-3462 | |
| Not Available |
| Full Name | Southside Medical Service Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 510 Wolf Creek Rd N, Pell City, Alabama |
| Authorized Official Name and Position | Stephen Fortson (OWNER/MD) |
| Authorized Official Contact | 2057533462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Medical Service Llc 3413 Moss Brook Ln Vestavia AL 35243-4951 Ph: (205) 753-3462 | Southside Medical Service Llc 510 Wolf Creek Rd N Pell City AL 35125-2477 Ph: (205) 753-3462 |
| NPI Number | 1639767742 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639767742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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