Southside Ob-Gyn, Inc.
NPI #1316150006 in Petersburg, Virginia
Provider Information
- NPI Number
- 1316150006
- Entity Type
- Organization
- Organization Name
- Southside Ob-Gyn, Inc.
- Primary Specialty
- Specialist
- Enumeration Date
- May 8, 2007
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 600 S SYCAMORE ST
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-5815
- Phone
- (804) 732-0136
Authorized Official
- Name
- DR. HENRY LOUIS TOMLIN, M.D.
- Title
- PRESIDENT
- Phone
- (804) 732-0136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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