Organization
RIVERSIDE PHYSICIAN SERVICES INC
Active
Parent organization
RIVERSIDE HEALTHCARE ASSOCIATES
Other names
Riverside Center for Internal and Family Medicine, Riverside Primary Care Hampton
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
850 ENTERPRISE PKWY, STE 2200, HAMPTON, VA 23666-6251
(757) 251-2170
(757) 251-2185
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
09/17/2024
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