| Southside Area Family Medicine Inc | |
|
324 Commerce Rd Farmville VA 23901-2794 | |
| (434) 392-9366 | |
| (434) 392-9348 |
| Full Name | Southside Area Family Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 324 Commerce Rd, Farmville, Virginia |
| Authorized Official Name and Position | Timothy Wiley Corbett (MEDICAL DOCTOR) |
| Authorized Official Contact | 4343929366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Area Family Medicine Inc 324 Commerce Rd Farmville VA 23901-2794 Ph: (434) 392-9366 | Southside Area Family Medicine Inc 324 Commerce Rd Farmville VA 23901-2794 Ph: (434) 392-9366 |
| NPI Number | 1568651719 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 05/18/2015 |
| Medicare PECOS PAC ID | 8325058076 |
|---|---|
| Medicare Enrollment ID | O20060426000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568651719 | NPI | - | NPPES |
| 010299161 | Medicaid | VA | |
| 20416 | Other | VA | SENTARA |
| 187087 | Other | VA | ANTHEM |
| 7722441 | Other | VA | AETNA |
| P00326033 | Other | VA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101057605 (Virginia) | Primary |
| Provider Name | Timothy W Corbett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932209335 PECOS PAC ID: 4688684335 Enrollment ID: I20060426000483 |
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