| NPI | 1134399066 |
|---|---|
| Doing Business As | RIVERSIDE CENTER FOR INTERNAL AND FAMILY MEDICINE |
| Doing Business As | RIVERSIDE PRIMARY CARE HAMPTON |
| Entity Type | Organization |
| Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2024-09-17 |