| Organization Name: | EXCELSIOR PODIATRY CLINIC PLLC |
| NPI Number: | 1003085515 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN BELL (DOCTOR) |
| Mailing Address: | 214 Lakeview Rd Somerville |
| State: | TN US |
| Postal Code: | 380689737 |
| Phone Number: | 9015164005 |
| Fax Number: | 9015164023 |
| NPI Enumeration Date: | 02/28/2008 |
| NPI Last Update Date: | 04/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | DPM0000000649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |