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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