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Organization

SOUTHSIDE MEDICAL MANAGEMENT INC

Active
Parent organization
SOUTHSIDE MEDICAL MANAGEMENT INC
Other names
South Hill Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHSIDE MEDICAL MANAGEMENT INC
Authorized official
GRAHANM H POWERS III MD (PARTNER)
(434) 584-2000
Entity
Organization

Contact information

Practice address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 584-2000
(434) 447-2240
Mailing address
514 W ATLANTIC ST, SOUTH HILL, VA 23970-1906
(434) 584-2000
(434) 447-2240

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
VA
207R00000X
Internal Medicine Physician
0101040317
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0101040317
VA
208000000X
Pediatrics Physician
0101042014
VA
363AM0700X
Medical Physician Assistant
0110002166
VA
363LA2200X
Adult Health Nurse Practitioner
0024168641
VA
363LF0000X
Family Nurse Practitioner
VA
363LP0200X
Pediatric Nurse Practitioner
VA

Other

Enumeration date
03/12/2014
Last updated
02/01/2017
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