Organization
RIVERSIDE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMAR ATASSI M.D. (OWNER)
(304) 442-8381
Entity
Organization
Contact information
Practice address
401 6TH AVE, SUITE 102, MONTGOMERY, WV 25136-2116
(304) 442-8381
Mailing address
401 6TH AVE, SUITE 102, MONTGOMERY, WV 25136-2116
(304) 442-8381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
09/04/2007
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