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Organization

SOUTH HILL FAMILY MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRAHAM H POWERS III MD (PRESIDENT)
(434) 447-6969
Entity
Organization

Contact information

Practice address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 447-6969
(434) 447-2240
Mailing address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 447-6969
(434) 447-2240

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
89018YT
NC MEDICAID #
VA
01
CM5198
SH RR MEDICARE
VA
Enumeration date
06/03/2006
Last updated
03/25/2013
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