Organization · Type 2 NPI
Southern Gastroenterology Associates PC
Specialist · South Boston, VA
NPI number
1376659870
Active
Practice location
1129 N Main St Ste G
South Boston, VA 24592-2547
Fax (434) 572-8341
Other practice locations
- 2232 Wilborn Ave, South Boston, VA 24592-1662 · (434) 572-8196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1376659870
Southern Gastroenterology Associates PC's National Provider Identifier is 1376659870, issued on Aug 21, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in South Boston, VA. The record was last updated on Jan 7, 2022.