Southside Ob-Gyn, Inc.

LBN: Southside Ob-Gyn, Inc.
Southside Ob-Gyn, Inc. is an health care organization with primary practice located at 600 S Sycamore St , Petersburg VA 23803-5815. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southside Ob-Gyn, Inc. can be contacted via phone (804) 732-0136, or through Tomlin, Henry Louis via phone (804) 732-0136.

Contact Information

Primary practice address
600 S Sycamore St Petersburg VA 23803-5815
Phone: (804) 732-0136
Fax: (804) 861-9661
Website:
Map and Directions
Authorized official contact:
Name: Tomlin, Henry Louis Doctor of Medicine (MD)
Phone: (804) 732-0136

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101029081 Virginia

Profile Details

NPI number 1316150006
LBN Legal business name Southside Ob-Gyn, Inc.
DBA Doing business as
Authorized official Tomlin, Henry Louis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Apr 20th, 2008 - about 18 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 1316150006 NPPES
Virginia Other 213198 MDIPA OPTIMUM CHOICE
Virginia Other 212033 MDIPA OPTIMUM CHOICE
Virginia Other 070725 MDIPA OPTIMUM CHOICE

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