| NPI | 1972169571 |
|---|---|
| Doing Business As | RIVERSIDE VILLAGE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER CAMPBELL Owner 615-810-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |