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 Surgery, Vascular Surgery
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