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

Southside Surgical Specialists PC

Organization Surgery Physician · NPI 1619068673

Southside Surgical Specialists PC is a Surgery Physician in Danville, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
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

159 Executive Dr Ste B
Danville, VA 24541-4160
Phone: (434) 792-5964
Fax: (434) 792-5971
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0101232606 (VA)

Record details

NPI number1619068673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Martin — Office Manager · (434) 792-5964
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJune 17, 2008
Mailing address159 Executive Dr Ste B, Danville, VA 24541-4160

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