Organization
RIVERSIDE MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS ALEXANDER TSAMBASSIS M.D. (PHYSICIAN/PRESIDENT)
(931) 906-9473
Entity
Organization
Contact information
Practice address
127 DEAN DR, CLARKSVILLE, TN 37040-3981
(931) 906-9473
(931) 906-9477
Mailing address
127 DEAN DR, CLARKSVILLE, TN 37040-3981
(931) 906-9473
(931) 906-9477
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD-019687
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174628523
NPPES
—
Enumeration date
10/16/2007
Last updated
12/01/2010
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