# COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Child Development Clinic Southside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770653537
- **Authorized official:** DR. KERRY GATELEY M.D. (DIRECTOR)
- **Authorized official phone:** (434) 766-9800

## Contact information

- **Practice address:** 326 TAYLOR DR, DANVILLE, VA 24541-4023
- **Practice address phone:** (434) 766-9800
- **Practice address fax:** (434) 799-5022
- **Mailing address:** 326 TAYLOR DR, DANVILLE, VA 24541-4023
- **Mailing address phone:** (434) 766-9800
- **Mailing address fax:** (434) 799-5022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 03/31/2016