Dr Cynthia Martin Southern, DDS | |
62 E Main Street, Pulaski, VA 24301 | |
(540) 280-5129 | |
(540) 980-5179 |
Full Name | Dr Cynthia Martin Southern |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 62 E Main Street, Pulaski, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881700250 | NPI | - | NPPES |
9178924 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0401410201 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Cynthia Martin Southern, DDS 62 E Main Street, Pulaski, VA 24301 Ph: (540) 280-5129 | Dr Cynthia Martin Southern, DDS 62 E Main Street, Pulaski, VA 24301 Ph: (540) 280-5129 |
Henry Kesler Higginbotham Ii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 73 3rd St Nw, Pulaski, VA 24301 Phone: 540-980-8898 | |
Ronald Oakley Vaughan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 158 N Washington Ave, Pulaski, VA 24301 Phone: 540-980-4695 | |
Dr. Brian Lee Bertholomey, DDS Dentist Medicare: Medicare Enrolled Practice Location: 65 East Main Street, Suite C, Pulaski, VA 24301 Phone: 540-980-5202 Fax: 540-980-6764 |