Southside Medical Associates P.C

LBN: Southside Medical Associates P.C
Southside Medical Associates P.C is an health care organization with primary practice located at 2202-A Beechmont Road , South Boston VA 24592-2547. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southside Medical Associates P.C can be contacted via phone (434) 575-6300, or through Hall, Sherry Lene via phone (434) 575-6300.

Contact Information

Primary practice address
2202-A Beechmont Road South Boston VA 24592-2547
Phone: (434) 575-6300
Fax: (434) 575-8300
Website:
Map and Directions
Authorized official contact:
Name: Hall, Sherry Lene Doctor of Medicine (MD)
Phone: (434) 575-6300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101023654 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 010141405 Virginia

Profile Details

NPI number 1760589287
LBN Legal business name Southside Medical Associates P.C
DBA Doing business as
Authorized official Hall, Sherry Lene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Jul 14th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760589287 NPPES
Virginia Other 110244240 RR MEDICARE
Virginia MEDICAID 005880777 RR MEDICARE
Virginia MEDICAID 005880769 RR MEDICARE
Virginia Other 110244239 RR MEDICARE
Virginia Other 44111 RR MEDICARE
Virginia Other 20602 RR MEDICARE

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