Southern Physical Medicine Associates Inc
Southern Physical Medicine Associates Inc provides Counselor services in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2007.
- Licensed in
- VA
- In the registry since
- 2007
- Specialties on file
- 8
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5922 W Broad StRichmond, VA 23230-2231 Not confirmed with CMS for 14 years — call before visiting
Phone: (804) 282-6593
Fax: (804) 282-8215
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 0101032689 (VA) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 0715002791 (VA) |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | Taxonomy 204C00000X · Licence 0101032689 (VA) |
| Neuromusculoskeletal Medicine & OMM Physician | Taxonomy 204D00000X · Licence 0101032689 (VA) |
| Spinal Cord Injury Medicine Physician | Taxonomy 2081P0004X · Licence 0101032689 (VA) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X · Licence 0101032689 (VA) |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 0101032689 (VA) |
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X · Licence 0101032689 (VA) |
Record details
| NPI number | 1134338361 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charles Bonner — President · (804) 282-6593 |
| Other names | Physical Medicine Center |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | July 31, 2012 |
| Mailing address | 5922 W Broad St, Richmond, VA 23230-2231 |
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Dr. Dennett Clinton Slemp, LPC
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Dr. Marjorie Chrichlow Smith, LPC
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Edibell Stone, LPC
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Marc P Taylor, LPC
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Morgan Thatcher, MED
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