| Halifaxmed, Plc | |
|
1627 Seymour Dr South Boston VA 24592-3428 | |
| (434) 572-9355 | |
| (434) 572-4818 |
| Full Name | Halifaxmed, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 1627 Seymour Dr, South Boston, Virginia |
| Authorized Official Name and Position | Charles H. Parker (PRESIDENT) |
| Authorized Official Contact | 4345721171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Halifaxmed, Plc 1627 Seymour Dr South Boston VA 24592-3428 Ph: (434) 572-1171 | Halifaxmed, Plc 1627 Seymour Dr South Boston VA 24592-3428 Ph: (434) 572-9355 |
| NPI Number | 1174551725 |
|---|---|
| Provider Enumeration Date | 06/30/2006 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174551725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
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