Halifax Internal Medicine, Pllc
NPI #1801030119 in South Boston, Virginia
Provider Information
- NPI Number
- 1801030119
- Entity Type
- Organization
- Organization Name
- Halifax Internal Medicine, Pllc
- Primary Specialty
- Legal Medicine
- Enumeration Date
- Apr 30, 2009
- Last Updated
- Apr 30, 2009
Practice Location
- Address
- 2232 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1662
- Phone
- (434) 517-3879
Authorized Official
- Name
- MARIE K KETCHERSID, MD
- Title
- OWNER
- Phone
- (434) 517-3879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Legal Medicine |
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