| Southside Family Medicine, Inc. | |
|
1602 Highway 77 Southside AL 35907-0100 | |
| (256) 442-7423 | |
| (256) 442-6762 |
| Full Name | Southside Family Medicine, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1602 Highway 77, Southside, Alabama |
| Authorized Official Name and Position | Lisa A Florence (VICE PRESIDENT) |
| Authorized Official Contact | 2564427423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Family Medicine, Inc. 1602 Highway 77 Southside AL 35907-0100 Ph: (256) 442-7423 | Southside Family Medicine, Inc. 1602 Highway 77 Southside AL 35907-0100 Ph: (256) 442-7423 |
| NPI Number | 1649463431 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649463431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0920 (Alabama) | Primary |
Wesley Quarles Np Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2447 Powell St, Southside, AL 35907 Phone: 256-458-2140 |