Southside Medical Management

NPI #1417373606 in Kenbridge, Virginia

Provider Information

NPI Number
1417373606
Entity Type
Organization
Organization Name
Southside Medical Management
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHSIDE MEDICAL MANAGEMENT
Primary Specialty
Family Medicine
Enumeration Date
Mar 12, 2014
Last Updated
Mar 12, 2014

Practice Location

Address
306 E 6TH AVE
ZIP Code
23944-2050
Phone
(434) 676-8021

Authorized Official

Name
GRAHAM H POWERS III, MD
Title
PARTNER
Phone
(434) 447-7177

Specialties & Taxonomy Codes

Specialty
Family Medicine

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