Organization
SOUTHSIDE SPECTRUM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMBRA HOLLINGSWORTH NP (OWNER)
(757) 937-3029
Entity
Organization
Contact information
Practice address
5320 PROVIDENCE RD STE 100, VIRGINIA BEACH, VA 23464-4122
(757) 451-5000
Mailing address
5320 PROVIDENCE RD STE 100, VIRGINIA BEACH, VA 23464-4122
(757) 937-3029
(757) 937-8290
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
12/15/2022
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