Most Relevant Information
Provider Data
| NPI Number: | 1003405903 |
| Provider Name: | ZEKE EDWARD BELLOMY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2021 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
6300 GRELOT RD
MOBILE
AL
366093602
Practice Location Phone/Fax
| Phone: | 2516334938 |
| Fax: | 2516334190 |
Provider Mailing Location
1721 SANDCASTLE CT
MOBILE
AL
366182250
Provider Mailing Phone/Fax
| Phone: | 2566471258 |
| Fax: |