| NPI | 1619927100 |
|---|---|
| Doing Business As | SOUTHSIDE UROLOGY & NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH M CARBONE President 434-792-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2023-09-07 |