| Southside Medical Practice Pllc | |
|
502 Beech St Farmville VA 23901-1222 | |
| (434) 392-9438 | |
| (434) 392-7630 |
| Full Name | Southside Medical Practice Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 502 Beech St, Farmville, Virginia |
| Authorized Official Name and Position | Tammy Atkins (PRACTICE MANAGER) |
| Authorized Official Contact | 4343929438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Medical Practice Pllc 502 Beech St Farmville VA 23901-1222 Ph: (434) 392-9438 | Southside Medical Practice Pllc 502 Beech St Farmville VA 23901-1222 Ph: (434) 392-9438 |
| NPI Number | 1073177978 |
|---|---|
| Provider Enumeration Date | 04/25/2019 |
| Last Update Date | 07/13/2022 |
| Medicare PECOS PAC ID | 4789090655 |
|---|---|
| Medicare Enrollment ID | O20210302000516 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073177978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Victor Romeo Clemente Adaniel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457665846 PECOS PAC ID: 2668651977 Enrollment ID: I20190624003483 |
Farmville Internal Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Milnwood Rd, Farmville, VA 23901 Phone: 434-392-9000 Fax: 434-392-9215 | |
Central Virginia Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 833 Buffalo Street, Suite 200, Farmville, VA 23901 Phone: 434-392-8177 Fax: 434-392-8272 | |
Centra Medical Group. Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-315-2880 | |
Southside Area Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 324 Commerce Rd, Farmville, VA 23901 Phone: 434-392-9366 Fax: 434-392-9348 | |
Centra Medical Group Southside, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Oak St, Farmville, VA 23901 Phone: 434-200-3656 | |
Hope Clinic Of Farmville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W 3rd St, Farmville, VA 23901 Phone: 434-394-2422 Fax: 434-394-2435 |