Emergicare of South Boston Va INC
NPI #1588745566 in South Boston, Virginia
Provider Information
- NPI Number
- 1588745566
- Entity Type
- Organization
- Organization Name
- Emergicare of South Boston Va INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jan 20, 2011
Practice Location
- Address
- 1020 BILL TUCK HIGHWAY
- Address 2
- SUITE 900
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592
- Phone
- (434) 575-7555
Authorized Official
- Name
- DR. DANTE DE LOS SANTOS BRUNO, M.D.
- Title
- CEO
- Phone
- (434) 575-7555
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
| Clinic/Center - Primary Care — Primary Care |
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