| Halifax Urology Associates | |
|
2232 Wilborn Ave South Boston VA 24592-1662 | |
| (434) 517-3100 | |
| Not Available |
| Full Name | Halifax Urology Associates |
|---|---|
| Speciality | Clinic/center |
| Location | 2232 Wilborn Ave, South Boston, Virginia |
| Authorized Official Name and Position | Stewart Nelson (CEO) |
| Authorized Official Contact | 4345173183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halifax Urology Associates Po Box 777 South Boston VA 24592-0777 Ph: (434) 517-3513 | Halifax Urology Associates 2232 Wilborn Ave South Boston VA 24592-1662 Ph: (434) 517-3100 |
| NPI Number | 1801175567 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 08/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801175567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101037012 (Virginia) | Primary |
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