| Northside Medical Llc | |
|
252 Estate Glynn Agape Medical Center Kingshill VI 00850-9826 | |
| (340) 772-2000 | |
| Not Available |
| Full Name | Northside Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 252 Estate Glynn, Kingshill, Virgin Island |
| Authorized Official Name and Position | Albert A Titus (OWNER) |
| Authorized Official Contact | 3407722000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Llc 252 Estate Glynn Agape Medical Center Kingshill VI 00850-9826 Ph: (340) 772-2000 | Northside Medical Llc 252 Estate Glynn Agape Medical Center Kingshill VI 00850-9826 Ph: (340) 772-2000 |
| NPI Number | 1184997678 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184997678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1631 (Virgin Island) | Primary |
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