| NPI | 1326603952 |
|---|---|
| Doing Business As | RIVERSIDE CHARLIE W. AND GOLDEN BETHUNE HILL COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-09-13 |