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

Southside Head N Neck Surgery Professional Corp

Organization Otolaryngology Physician · NPI 1194803338

Southside Head N Neck Surgery Professional Corp is an Otolaryngology Physician in Colonial Heights, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

930 S Ave Ste 4B
Colonial Heights, VA 23834
Phone: (804) 504-0530
Fax: (804) 504-0532
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 0101036702 (VA)

Record details

NPI number1194803338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Cangcuesta — Physician/Owner · (804) 337-1110
Other names Southside Ear, Nose & Throat
NPI enumeratedNovember 2, 2006
Last updated in NPPESJuly 1, 2014
Mailing address930 South Ave., Suite 4b, Colonial Heights, VA 23834

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