Southside Surgical Specialists PC

NPI #1619068673 in Danville, Virginia

Provider Information

NPI Number: 1619068673
Entity Type: Organization
Organization Name: Southside Surgical Specialists PC
Primary Specialty: Surgery
Enumeration Date: Sep 27, 2006
Last Updated: Jun 17, 2008

Practice Location

Address: 159 EXECUTIVE DR STE B
City: Danville
State: Virginia
ZIP Code: 24541-4160
Phone: (434) 792-5964

Authorized Official

Name: MRS. JOAN C MARTIN
Title: OFFICE MANAGER
Phone: (434) 792-5964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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