Dr DAPHNE BAZILE-HARRISON is a female medical professional, specializing in Obstetrics/gynecology. She graduated in 2004 from Howard University College Of Medicine.
SOUTHSIDE PHYSICIAN NETWORK LLC
3335 S CRATER RD
PETERSBURG
VA
238059214
Tel:
| Npi | 1851558548 |
| Pac Id | 0244393742 |
| Professional Enrollment Id | I20151228001860 |
| Last Name | BAZILE-HARRISON |
| First Name | DAPHNE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
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| Organization Legal Name | SOUTHSIDE PHYSICIAN NETWORK LLC |
| Group Practice Pac Id | 4587722160 |
| Number Of Group Practice Members | 66 |
| Line 1 Street Address | 3335 S CRATER RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | PETERSBURG |
| State | VA |
| Zip Code | 238059214 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 490067 |
| Hospital Affiliation Lbn 1 | SOUTHSIDE REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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