Organization
SOUTHSIDE MEDICAL PRACTICE PLLC
Active
Organization
SOUTHSIDE MEDICAL PRACTICE PLLC
Active
Other names
Southside Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY ATKINS (PRACTICE MANAGER)
(434) 392-9438
Entity
Organization
Contact information
Practice address
502 BEECH ST, FARMVILLE, VA 23901-1222
(434) 392-9438
(434) 392-7630
Mailing address
502 BEECH ST, FARMVILLE, VA 23901-1222
(434) 392-9438
(434) 392-7630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
07/13/2022
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