Southside Wound Care Pllc
NPI #1821194275 in South Boston, Virginia
Provider Information
- NPI Number
- 1821194275
- Entity Type
- Organization
- Organization Name
- Southside Wound Care Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2232 WILBORN AVE
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592
- Phone
- (434) 517-3914
Authorized Official
- Name
- CECIL F HAZELWOOD
- Title
- OPERATIONS MANAGER
- Phone
- (434) 517-3515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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