| NPI | 1609257310 |
|---|---|
| Doing Business As | RIVERSIDE SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JANA SUE TAYLOR Credentialing Specialist 678-426-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-07-13 |