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Organization

SOUTHSIDE ORTHOPEDIC ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDI MAHAN (BILLING MANAGER)
(434) 392-8849
Entity
Organization

Contact information

Practice address
1509 WEST THIRD ST, FARMVILLE, VA 23901
(434) 392-8849
(434) 392-3280
Mailing address
1509 WEST THIRD ST, FARMVILLE, VA 23901
(434) 392-8849
(434) 392-3280

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101023902
VA

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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