Organization
RIVERSIDE MEDICAL CENTER
Active
Organization
RIVERSIDE MEDICAL CENTER
Active
Other names
Riverside Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY K MCGRAW (BUSINESS OFFICE DIRECTOR)
(985) 795-4168
Entity
Organization
Contact information
Practice address
809 RIVERSIDE DR, FRANKLINTON, LA 70438-3635
(985) 795-4208
(985) 795-4210
Mailing address
809 RIVERSIDE DR, FRANKLINTON, LA 70438-3635
(985) 795-4208
(985) 795-4210
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
168
LA
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
09/19/2022
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