Organization
RIVERSIDE SPINE GEORGIA
Active
Parent organization
RIVERSIDE SPINE & PAIN PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERSIDE SPINE & PAIN PHYSICIANS
Authorized official
MR. JASON A STEIGER (CHIEF EXECUTIVE OFFICER)
(904) 389-1010
Entity
Organization
Contact information
Practice address
2453 US HIGHWAY 17, SUITE G, RICHMOND HILL, GA 31324-5959
(904) 389-1010
(904) 389-1082
Mailing address
6195 LAKE GRAY BLVD, SUITE 4, JACKSONVILLE, FL 32244-5891
(904) 389-1010
(904) 389-1082
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
047638
GA
Other
Enumeration date
10/07/2015
Last updated
10/20/2015
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