Individual
ANDREW M. SOUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST GROUD FL, CHARLOTTESVILLE, VA 22908-0001
(800) 251-3627
(434) 982-1850
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
133988
NC
2084N0400X
Neurology Physician
Primary
0101248133
VA
Other
Enumeration date
03/05/2007
Last updated
10/20/2020
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