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CALEB DONALDSON SOUTHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5609 CLAIBORNE RD, SUTHERLAND, VA 23885-9303
(804) 265-5211
Mailing address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101283159
VA

Other

Enumeration date
03/30/2021
Last updated
10/18/2024
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