Organization
SOUTHSIDE PRIMARY CARE, INC.
Active
Organization
SOUTHSIDE PRIMARY CARE, INC.
Active
Other names
Southside Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEIGH A RAUBENOLT (CREDENTIALING)
(540) 371-4488
Entity
Organization
Contact information
Practice address
4103 LAFAYETTE BLVD, SUITE 2, FREDERICKSBURG, VA 22408-4274
(540) 891-5550
Mailing address
4103 LAFAYETTE BLVD, SUITE 2, FREDERICKSBURG, VA 22408-4274
(540) 891-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102037027
VA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up