Organization
RIVERSIDE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEWELL BARNETT MD (DIRECTOR, OB/ GYN RESIDENCY)
(757) 494-4413
Entity
Organization
Contact information
Practice address
10510 JEFFERSON AVE STE B, NEWPORT NEWS, VA 23601-3102
(757) 594-4720
Mailing address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-4737
(757) 594-3184
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0116022247
VA
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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