# SOUTHSIDE DIABETES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southside Diabetes & Integrated Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417616202
- **Authorized official:** DR. DANA STALLINGS DNP, APRN, FNP-C (OWNER/CEO)
- **Authorized official phone:** (757) 659-9903

## Contact information

- **Practice address:** 1337 ARMORY DRIVE, FRANKLIN, VA 23851-2419
- **Practice address phone:** (757) 659-9903
- **Practice address fax:** (833) 471-5922
- **Mailing address:** 1337 ARMORY DRIVE, FRANKLIN, VA 23851-2419
- **Mailing address phone:** (757) 659-9903
- **Mailing address fax:** (833) 471-5922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 11/25/2024