SOUTHSIDE INTERNAL MEDICINE, PC
Managed Care Organizations at Agee St, Farmville, VA

License number
Virginia 0101048599
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. LUKE SAN M.D.
Title: M.D.
Phone: (434) 392-6143
Address
Address
202 Agee St, Farmville, VA 23901
National Provider ID: 1609065341
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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