Southside Surgical Specialists Pc in Danville - Surgery

Southside Surgical Specialists Pc - NPI 1619068673

Southside Surgical Specialists Pc is a Surgery in Danville, Virginia. Southside Surgical Specialists Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Southside Surgical Specialists Pc is 1619068673. The last update date is 2008-06-17.

Southside Surgical Specialists Pc's current location address is 159 Executive Dr Ste B, Danville, Virginia. You can contact this provider via phone number 4347925964 and fax number 4347925971. The mailing address for Southside Surgical Specialists Pc is 159 Executive Dr Ste B, Danville, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southside Surgical Specialists Pc
Address 159 Executive Dr Ste B, Danville, Virginia
Phone Number 4347925964
Fax Number 4347925971
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Martin C Joan
Telephone Number 4347925964

NPI Number Detail

NPI Number 1619068673
Provider Enumeration Date 2006-09-27
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 159 Executive Dr Ste B
City Danville
State Virginia (VA)
Post Code 245414160
Phone Number 4347925964
Fax Number 4347925971

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 101232606
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10151163 VA --
7308345 VA --
7312580 VA --
7300107 VA --

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FAQs about Southside Surgical Specialists Pc

What is the Southside Surgical Specialists Pc's 1619068673?

The Southside Surgical Specialists Pc's NPI (National Provider Identifier) Number is 1619068673. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Southside Surgical Specialists Pc is physically located?

The Southside Surgical Specialists Pc is situated at the following address: 159 Executive Dr Ste B, Danville, VA 245414160.

What is Southside Surgical Specialists Pc's area of expertise and its corresponding taxonomy classification?

The Southside Surgical Specialists Pc's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.

On what date did Southside Surgical Specialists Pc receive its 1619068673 assignment from the Centers for Medicare & Medicaid Services?

The Southside Surgical Specialists Pc was assigned its 1619068673 on 2006-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Southside Surgical Specialists Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Southside Surgical Specialists Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-17.

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