Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Boston Pediatrics, PC

Organization Pediatrics Physician · NPI 1356690366

South Boston Pediatrics, PC is a Pediatrics Physician in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2202 Beechmont Rd
South Boston, VA 24592-1614
Phone: (434) 572-3635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101232220 (VA)

Record details

NPI number1356690366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nonna Ebalo — President · (434) 470-3489
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012
Mailing addressPo Box 774, South Boston, VA 24592-0774

Other providers in South Boston