Organization
SOUTHERN GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PALMER (PRACTICE MANAGER)
(434) 572-8196
Entity
Organization
Contact information
Practice address
1129 N MAIN ST STE G, SOUTH BOSTON, VA 24592-2547
(434) 572-8196
(434) 572-8341
Mailing address
1129 N MAIN ST STE G, SOUTH BOSTON, VA 24592-2547
(434) 572-8196
(434) 572-8341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Enumeration date
08/21/2006
Last updated
01/07/2022
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