NPI | 1043589252 |
---|---|
Doing Business As | RIVERSIDE INTERNAL MEDICINE WILLIAMSBURG |
Entity Type | Organization |
Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2011-12-16 |
Last Update Date | 2024-07-22 |