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Organization

RIVERWOOD MEDICAL ASSOCIATES, P.A.

Active
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Organization

RIVERWOOD MEDICAL ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA EGGERS (PRACTICE MANAGER)
(704) 854-8202
Entity
Organization

Contact information

Practice address
3715 UNION RD, GASTONIA, NC 28056-8044
(704) 854-8202
Mailing address
3715 UNION RD, GASTONIA, NC 28056-8044
(704) 854-8202

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200001505
NC
207Q00000X
Family Medicine Physician
200101147
NC
207Q00000X
Family Medicine Physician
Primary
36757
NC
207Q00000X
Family Medicine Physician
9400760
NC
207R00000X
Internal Medicine Physician
9401016
NC
363AM0700X
Medical Physician Assistant
100796
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336106038
NPI ENUMERATOR
NC
01
—
1457318156
NPI ENUMERATOR
NC
01
—
1497712277
NPI ENUMERATOR
NC
01
—
1720045958
NPI ENUMERATOR
NC
01
—
1841257540
NPI ENUMERATOR
NC
Enumeration date
05/08/2006
Last updated
10/14/2008
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