Organization
RIVERVIEW EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B R VEERENDRA-BABU MD (CEO)
(386) 274-7800
Entity
Organization
Contact information
Practice address
600 S 3RD ST, GADSDEN, AL 35901-5304
(256) 543-5200
Mailing address
PO BOX 11047, DAYTONA BEACH, FL 32120-1047
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932832
—
AL
Enumeration date
07/06/2007
Last updated
05/14/2008
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