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

Southside Primary Care, Inc

Organization Internal Medicine Physician · NPI 1184952707

Southside Primary Care, Inc is an Internal Medicine Physician in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4103 Lafayette Blvd Ste 2
Fredericksburg, VA 22408-4274
Phone: (540) 891-5550
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0102037027 (VA)

Record details

NPI number1184952707
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashleigh Raubenolt — Credentialing · (540) 371-4488
Other names Southside Internal Medicine
NPI enumeratedNovember 19, 2009
Last updated in NPPESNovember 19, 2009
Mailing address4103 Lafayette Blvd, Suite 2, Fredericksburg, VA 22408-4274

Other providers in Fredericksburg