Southside Internal Medicine of Fredericksburg PC
NPI #1437197142 in Fredericksburg, Virginia
Provider Information
- NPI Number
- 1437197142
- Entity Type
- Organization
- Organization Name
- Southside Internal Medicine of Fredericksburg PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Oct 25, 2007
Practice Location
- Address
- 4103 LAFAYETTE BLVD
- Address 2
- SUITE 2
- City
- Fredericksburg
- State
- Virginia
- ZIP Code
- 22408-4229
- Phone
- (540) 891-5550
Authorized Official
- Name
- PHILIP CASEY, DO
- Title
- PHYSICIAN
- Phone
- (540) 891-5550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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