Pulmonary Associates of Southside Virginia, INC
NPI #1265436117 in South Boston, Virginia
Provider Information
- NPI Number
- 1265436117
- Entity Type
- Organization
- Organization Name
- Pulmonary Associates of Southside Virginia, INC
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 9, 2005
- Last Updated
- Nov 15, 2010
Practice Location
- Address
- 2210 WILBORN AVENUE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592
- Phone
- (434) 575-5864
Authorized Official
- Name
- ANNETTE W HARDY
- Title
- SECRETARY
- Phone
- (434) 575-5864
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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