| NPI | 1588210108 |
|---|---|
| Doing Business As | RIVERSIDE ADVANCED WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL SPRATLEY Credentialing Specialist 757-316-5960 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |