Individual
JOHN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-2273
(434) 584-5579
Mailing address
PO BOX 623, SOUTH HILL, VA 23970-0623
(434) 584-2273
(434) 584-5579
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101270400
VA
208800000X
Urology Physician
ME86658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OJC64
BCBSFL
FL
Enumeration date
12/21/2005
Last updated
09/28/2020
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