Organization
SOUTHSIDE INTERNAL MEDICINE OF FREDERICKSBURG PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CASEY DO (PHYSICIAN)
(540) 891-5550
Entity
Organization
Contact information
Practice address
4103 LAFAYETTE BLVD, SUITE 2, FREDERICKSBURG, VA 22408-4229
(540) 891-5550
(540) 891-5554
Mailing address
4103 LAFAYETTE BLVD, SUITE 2, FREDERICKSBURG, VA 22408-4229
(540) 891-5550
(540) 891-5554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
10/25/2007
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