Southside Emergency Physicians PC
Personal Emergency Response Attendant in South Boston, VA. Organization (NPI-2).
NPI number1346356631
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346356631
- Entity type
- Organization (NPI-2)
- Legal business name
- Southside Emergency Physicians PC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 146D00000X | Personal Emergency Response Attendant | – | VA | Yes |
Practice location
2204 Wilborn AveSouth Boston, VA 24592-1645
Phone 434-517-3832 · Fax 434-517-3649
Mailing address
Po Box 1115South Boston, VA 24592-1115
Phone 434-517-3515 · Fax 434-572-4549
Authorized official
Cecil F Hazelwood
Operations Manager
4345173515
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.