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Organization

SOUTHSIDE MEDICAL MANAGEMENT

Active
Parent organization
SOUTHSIDE MEDICIAL MANAGEMENT
Other names
South HIll Family Medicine Inc RHC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHSIDE MEDICIAL MANAGEMENT
Authorized official
GRAHAM H POWERS III MD (PARTNER)
(434) 447-7177
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

Other

Enumeration date
03/12/2014
Last updated
03/12/2014
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