Southside Internal Medicine, PC
Southside Internal Medicine, PC is a Health Maintenance Organization in Farmville, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
202 Agee StFarmville, VA 23901
Phone: (434) 392-6143
Fax: (434) 392-3866
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 0101048599 (VA) |
|---|
Record details
| NPI number | 1609065341 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luke San — M.D. · (434) 392-6143 |
| NPI enumerated | October 18, 2007 |
| Last updated in NPPES | January 19, 2010 |
| Mailing address | 202 Agee Street, Farmville, VA 23901 |