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Southside Medical Management Inc
Pediatric Nurse Practitioner in Kenbridge, Virginia
NPI 1689090839

Southside Medical Management Inc is a Pediatric Nurse Practitioner based in Kenbridge, VA and is specialized in Pediatrics. Southside Medical Management Inc practices in Kenbridge, VA. The NPI Number for Southside Medical Management Inc is 1689090839 and holds a License No. (Virginia).

The current practice location address for Southside Medical Management Inc is 306 E 6Th Ave, Kenbridge, VA and can be reached out via phone at 434-676-8021 and via fax at 434-447-2240.

Location: 306 E 6Th Ave, Kenbridge, VA, 23944-2050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689090839
Provider Name
Southside Medical Management Inc
Credential
Provider Entity Type
Organization
Address
306 E 6Th Ave, Kenbridge, VA, 23944-2050
Phone Number
434-676-8021
Fax Number
434-447-2240
Provider Enumeration Date
03/12/2014
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
306 E 6Th Ave
City
Kenbridge
State
Virginia
Zip
23944-2050
Phone Number
434-676-8021
Fax Number
434-447-2240
person
Provider Business Mailing Address Details
Address
306 E 6Th Ave
City
Kenbridge
State
Virginia
Zip
23944-2050
Phone Number
434-676-8021
Fax Number
434-447-2240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
0024168845 (Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
(Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
0024168641 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
()
Definition
Definition to come...
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