Organization
SOUTHSIDE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESITA DIONISIO M.D. (OWNER)
(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
173000000X
Legal Medicine
Primary
0101035421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006702767
—
VA
05
—
010018579
—
VA
01
—
081150
DR D ANTHEM#
VA
01
—
99161
OPTIMA # DR D
VA
Enumeration date
10/24/2006
Last updated
06/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us