HALIFAX INTERNAL MEDICINE PLLC NPI 1801030119

NPI Details

HALIFAX INTERNAL MEDICINE, PLLC is a legal medicine in South Boston, VA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. HALIFAX INTERNAL MEDICINE, PLLC NPI is 1801030119. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2232 WILBORN AVE
SOUTH BOSTON, VA
ZIP 24592-662
Phone: (434) 517-3879

The provider's authorized official is Marie K Ketchersid .
The authorized official title is Owner and has the following contact phone number (434) 517-3879.

The CLIA number assigned to this NPI record is 49D2006731 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 4/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: