# SOUTH COUNTY FAMILY MEDICINE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225041064
- **Authorized official:** DR. JONATHAN BERTMAN M.D (CEO)
- **Authorized official phone:** (401) 539-0283

## Contact information

- **Practice address:** 1111 MAIN ST, HOPE VALLEY, RI 02832-1610
- **Practice address phone:** (401) 539-0283
- **Practice address fax:** (401) 539-6741
- **Mailing address:** 1111 MAIN ST, HOPE VALLEY, RI 02832-1610
- **Mailing address phone:** (401) 539-0283
- **Mailing address fax:** (401) 539-6741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | RI8814 | RI | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 03/02/2011