Organization
SURGICAL ASSOCIATES OF SOUTH BOSTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS V ANDERSON (BUSINESS MANAGER)
(434) 572-2744
Entity
Organization
Contact information
Practice address
2206A WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 572-2744
(434) 572-2785
Mailing address
2206A WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 572-2744
(434) 572-2785
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292847
ANTHEM BCBS
VA
Enumeration date
04/06/2006
Last updated
08/22/2020
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