Organization
RIVERSIDE FAMILY MEDICAL
Active
Organization
RIVERSIDE FAMILY MEDICAL
Active
Other names
RIVERSIDE FAMILY MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE W. GEORGE P.A. (OWNER)
(678) 407-2222
Entity
Organization
Contact information
Practice address
1960 RIVERSIDE PKWY STE 106, LAWRENCEVILLE, GA 30043-5945
(678) 407-2222
(678) 407-2266
Mailing address
1960 RIVERSIDE PKWY STE 106, LAWRENCEVILLE, GA 30043-5945
(678) 407-2222
(678) 407-2266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
034091
GA
208100000X
Physical Medicine & Rehabilitation Physician
049316
GA
363AM0700X
Medical Physician Assistant
Primary
002087
GA
Other
Enumeration date
02/16/2007
Last updated
09/11/2025
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