Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES
Other names
Riverside Lifelong Health Specialists Williamburg
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE HEALTHCARE ASSOCIATES
Authorized official
BILLIE JO BROWN (CREDENTIALING MANAGER)
(757) 316-5901
Entity
Organization
Contact information
Practice address
460 MCLAWS CIR STE 110, WILLIAMSBURG, VA 23185-6428
(555) 555-5555
(555) 555-5555
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(754) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
VA
207R00000X
Internal Medicine Physician
Primary
—
VA
Other
Enumeration date
11/30/2010
Last updated
11/21/2024
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