| Southern Family Medicine Llc | |
|
16312 Mount Airy Rd Shrewsbury PA 17361-1623 | |
| (717) 227-3800 | |
| (717) 227-3802 |
| Full Name | Southern Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 16312 Mount Airy Rd, Shrewsbury, Pennsylvania |
| Authorized Official Name and Position | Amy Beth Pedone (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7172273800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Family Medicine Llc 16312 Mount Airy Rd Shrewsbury PA 17361-1623 Ph: (717) 227-3800 | Southern Family Medicine Llc 16312 Mount Airy Rd Shrewsbury PA 17361-1623 Ph: (717) 227-3800 |
| NPI Number | 1164536611 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164536611 | NPI | - | NPPES |
| SO1624336 | Other | PA | HIGHMARK BLUE SHIELD |
| 959ASO | Other | PA | CARE FIRST |
| 50036273 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Pennsylvania) | Primary |
Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Sofia Dr Ste 208, Shrewsbury, PA 17361 Phone: 717-812-2400 Fax: 717-812-3005 | |