| NPI | 1417483728 |
|---|---|
| Doing Business As | RIVERCREST MEDICAL PARK |
| Entity Type | Organization |
| Authorized Contact | KAREN SHADOWENS CFO 336-627-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-06-16 |