Organization · Type 2 NPI

Southside Head N Neck Surgery Professional Corp

Otolaryngology Physician · Colonial Heights, VA

NPI number 1194803338 Active

Practice location

930 South Ave., Suite 4B
Colonial Heights, VA 23834

Fax (804) 504-0532

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X0101036702 (VA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

About NPI 1194803338

Southside Head N Neck Surgery Professional Corp's National Provider Identifier is 1194803338, issued on Nov 2, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Colonial Heights, VA. The record was last updated on Jul 1, 2014.