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Organization
RIVERSIDE MEDICAL CLINIC INC
Active
Organization
RIVERSIDE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA S WILLIAMS NP (PRESIDENT)
(276) 935-7515
Entity
Organization
Contact information
Practice address
20886 RIVERSIDE DR, GRUNDY, VA 24614-9597
(276) 935-7515
(276) 935-4351
Mailing address
PO BOX 1030, GRUNDY, VA 24614-1030
(276) 935-7515
(276) 935-4351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024168117
VA
Other
Enumeration date
11/26/2014
Last updated
08/12/2025
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