NPI | 1821173857 |
---|---|
Doing Business As | RIVERSIDE MEDICAL ASSOCIATES, PLLC |
Entity Type | Organization |
Authorized Contact | GRETA B TEMPLETON Insurance Manager 336-667-5296 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 24818) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 100774) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2017-05-19 |