DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHSIDE MEDICAL MANAGEMENT INC

Active Organization

SOUTHSIDE MEDICAL MANAGEMENT INC is a Family Medicine organization located in KENBRIDGE, Virginia. NPI 1689090839 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KENBRIDGE, VA

Registration Details

NPI Number
1689090839
Provider Type
Organization
NPI Issued
Mar 12, 2014 (12.242819874395 yrs)
Last Updated
Feb 8, 2017
Licenses
0024168641 (VA)
0024168845 (VA)

Practice Information

Address
306 E 6TH AVE
KENBRIDGE, VA, 239442050
Browse VA providers · Browse ZIP 23944
Phone
4346768021
Fax
4344472240
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Family Medicine

Other Family Medicine Organizations in KENBRIDGE, VA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.