Organization
RIVERSIDE MEDICAL ASSOCIATES, PLLC
Active
Other names
Riverside Medical Associates, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETA B TEMPLETON (INSURANCE MANAGER)
(336) 667-5296
Entity
Organization
Contact information
Practice address
702 13TH ST, NORTH WILKESBORO, NC 28659-4075
(336) 667-5296
(336) 667-0864
Mailing address
PO BOX 1348, NORTH WILKESBORO, NC 28659-1348
(336) 667-5296
(336) 667-0864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24818
NC
363AM0700X
Medical Physician Assistant
100774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02559
BCBSNC
NC
05
—
6902559
—
NC
Enumeration date
10/26/2006
Last updated
05/19/2017
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