Excelsior Podiatry Clinic PLLC
Organization Active NPI Exclusive Provider Organization · Somerville, TN
NPI 1124350087 · NPPES record last updated Feb 3, 2010
Key facts
- NPI
- 1124350087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- DPM0000000649 (TN)
- Legal business name
- EXCELSIOR PODIATRY CLINIC PLLC
- Practice address
- 214 Lakeview Rd
Somerville, TN 38068-9737 - Phone
- (901) 516-4005
- Fax
- (901) 516-4023
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. John Elijah Bell, DPM
- Title
- Ceo, President
- Phone
- (901) 516-4005
Practitioners 1
-
John Elijah Bell, DPM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | DPM0000000649 | TN | Yes |
Addresses
Primary practice location
214 Lakeview Rd
Somerville, TN 38068-9737
Mailing address
PO Box 460
Oakland, TN 38060-0460
Phone (901) 516-4005
Other providers in Somerville, TN
- Dwayne F Richardson DDS Estate
- Elite Pediatric and Adolescent Medicine
- Michelle G Elrod
- Encore Health and Wellness PLLC
- Excelsior Podiatry Clinic PLLC
- Family First Primary Care, Inc
- Meredith Fawcett
- Fayette County Schools
- Lloyann Ferrell-Bishop
- Melissa Fowler
All providers in Somerville, TN · Exclusive Provider Organization in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.