Organization
SOUTHSIDE AREA FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WILEY CORBETT SR. MD (MEDICAL DOCTOR)
(434) 392-9366
Entity
Organization
Contact information
Practice address
324 COMMERCE RD, FARMVILLE, VA 23901-2794
(434) 392-9366
(434) 392-9348
Mailing address
324 COMMERCE RD, FARMVILLE, VA 23901-2794
(434) 392-9366
(434) 392-9348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057605
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010299161
—
VA
01
—
187087
ANTHEM
VA
01
—
20416
SENTARA
VA
01
—
7722441
AETNA
VA
01
—
P00326033
MEDICARE RAILROAD
VA
Enumeration date
10/23/2007
Last updated
05/18/2015
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