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Organization
SANDY RIVER FAMILY CARE INC
Active
Organization
SANDY RIVER FAMILY CARE INC
Active
Parent organization
MEMORIAL FAMILY CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL FAMILY CARE INC
Authorized official
RAJENDRA S TRIVEDI MD (PRESIDENT)
(434) 685-7095
Entity
Organization
Contact information
Practice address
4520 MEDICAL CENTER RD, AXTON, VA 24054-2822
(434) 685-7095
(434) 797-1300
Mailing address
309 S MAIN ST, DANVILLE, VA 24541-2925
(434) 797-4150
(434) 797-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101053147
VA
Other
Enumeration date
12/01/2008
Last updated
09/10/2013
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