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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