Organization
SOUZA & ASSOCIATES, INC., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR A SOUZA M.D. (OWNER)
(434) 572-3323
Entity
Organization
Contact information
Practice address
2204 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3139
(434) 572-6716
Mailing address
PO BOX 444, SOUTH BOSTON, VA 24592-0444
(434) 572-3323
(434) 572-6716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0249A
NORTH CAROLINA BLUE CROSS
NC
05
—
890249A
—
NC
Enumeration date
06/18/2006
Last updated
08/22/2020
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