SOUTHSIDE PHYSICIAN NETWORK LLC

COLONIAL HEIGHTS, VA
NPI1811146194
Entity TypeOrganization
Authorized ContactJOANNE AUSTIN
Director
804-765-5473
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies208600000X Surgery
2086S0129X 
208800000X Urology
208D00000X General Practice
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
231H00000X Audiologist
207Q00000X Family Medicine
207V00000X Obstetrics & Gynecology
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2008-09-11
Last Update Date2018-11-15
Business Address
SOUTHSIDE PHYSICIAN NETWORK LLC
436 CLAIRMONT CT SUITE 105
COLONIAL HEIGHTS, VA 23834
Phone number: 804-765-5473
Mailing Address
SOUTHSIDE PHYSICIAN NETWORK LLC
436 CLAIRMONT CT SUITE 105
COLONIAL HEIGHTS, VA 23834-1765
Phone number: 804-765-5363