Individual
VALERIE SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1510 N 28TH ST, SUITE 305, RICHMOND, VA 23223-5311
(804) 371-1689
(804) 371-1678
Mailing address
1510 N 28TH ST, SUITE 305, RICHMOND, VA 23223-5311
(804) 371-1689
(804) 371-1678
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024076491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
06/02/2014
Last updated
07/15/2014
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