NPI 1346356631
Southside Emergency Physicians PC
Practice location
- Address
- 2204 Wilborn Ave, South Boston, VA 24592-1645
- Phone
- (434) 517-3832
- Fax
- (434) 517-3649
- Mailing address
- PO Box 1115, South Boston, VA 24592-1115
Authorised official
- Name
- Cecil F Hazelwood
- Title
- Operations Manager
- Phone
- (434) 517-3515
Registered specialties
Personal Emergency Response Attendant
Primary
Registry record
- NPI
- 1346356631
- Entity type
- Organization
- NPI issued
- 21 Aug 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.