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Organization

RIVERSIDE FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIMBERLY A GRENIER (OFFICE-BILLING MANAGER)
(615) 860-0704
Entity
Organization

Contact information

Practice address
1210 BRIARVILLE RD, BLDG F, MADISON, TN 37115-5141
(615) 860-0704
(615) 860-9882
Mailing address
1210 BRIARVILLE RD, BLDG F, MADISON, TN 37115-5141
(615) 860-0704
(615) 860-9882

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN

Other

Enumeration date
01/29/2007
Last updated
12/19/2024
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