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Organization

SOUTHSIDE SPECIALISTS FOR WOMEN, P.C.

Active
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Organization

SOUTHSIDE SPECIALISTS FOR WOMEN, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA COLE (OFFICE MANAGER)
(804) 861-1614
Entity
Organization

Contact information

Practice address
510 S SYCAMORE ST, SUITE D, PETERSBURG, VA 23803-5044
(804) 861-1614
(804) 863-0672
Mailing address
510 S SYCAMORE ST, SUITE D, PETERSBURG, VA 23803-5044
(804) 861-1614
(804) 863-0672

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—

Other

Enumeration date
03/03/2008
Last updated
03/03/2008
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