Southside Medical Associates P.c | |
2202-a Beechmont Road South Boston VA 24592-2547 | |
(434) 575-6300 | |
(434) 575-8300 |
Full Name | Southside Medical Associates P.c |
---|---|
Speciality | Internal Medicine |
Location | 2202-a Beechmont Road, South Boston, Virginia |
Authorized Official Name and Position | Sherry Lene Hall (M.D) |
Authorized Official Contact | 4345756300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southside Medical Associates P.c 2202-a Beechmont Road South Boston VA 24592-2547 Ph: (434) 575-6300 | Southside Medical Associates P.c 2202-a Beechmont Road South Boston VA 24592-2547 Ph: (434) 575-6300 |
NPI Number | 1760589287 |
---|---|
Provider Enumeration Date | 09/19/2006 |
Last Update Date | 07/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760589287 | NPI | - | NPPES |
110244240 | Other | VA | RR MEDICARE |
005880777 | Medicaid | VA | |
005880769 | Medicaid | VA | |
110244239 | Other | VA | RR MEDICARE |
44111 | Other | OPTIMA | |
20602 | Other | OPTIMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101023654 (Virginia) | Primary |
207R00000X | Internal Medicine | 010141405 (Virginia) | Secondary |
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