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1639767742
SOUTHSIDE MEDICAL SERVICE LLC
PELL CITY, AL
NPI
1639767742
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Entity Type
Organization
Authorized Contact
STEPHEN FORTSON
Owner/Md
205-753-3462
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-01-05
Last Update Date
2021-01-05
Business Address
SOUTHSIDE MEDICAL SERVICE LLC
510 WOLF CREEK RD N
PELL CITY, AL 35125-2477
Phone number: 205-753-3462
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Mailing Address
SOUTHSIDE MEDICAL SERVICE LLC
3413 MOSS BROOK LN
VESTAVIA, AL 35243-4951
Phone number: 205-753-3462
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