| NPI | 1952489510 |
|---|---|
| Doing Business As | SOUTHSIDE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANDREW A. WILLET President 302-735-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |