Organization
SOUTHSIDE INTERNAL MEDICINE OF FREDERICKSBURG PC
Active
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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