# SOUTHSIDE AREA FAMILY MEDICINE INC

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

## Provider details

- **NPI number:** 1568651719
- **Authorized official:** DR. TIMOTHY WILEY CORBETT SR. MD (MEDICAL DOCTOR)
- **Authorized official phone:** (434) 392-9366

## Contact information

- **Practice address:** 324 COMMERCE RD, FARMVILLE, VA 23901-2794
- **Practice address phone:** (434) 392-9366
- **Practice address fax:** (434) 392-9348
- **Mailing address:** 324 COMMERCE RD, FARMVILLE, VA 23901-2794
- **Mailing address phone:** (434) 392-9366
- **Mailing address fax:** (434) 392-9348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101057605 | VA | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 05/18/2015
