Riverside Family Medical

LBN: Riverside Family Medical
Riverside Family Medical is an health care organization with primary practice located at 1960 Riverside Pkwy Ste 106 , Lawrenceville GA 30043-5945. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Riverside Family Medical can be contacted via phone (678) 407-2222, or through George, Dave W. via phone (678) 407-2222.

Contact Information

Primary practice address
1960 Riverside Pkwy Ste 106 Lawrenceville GA 30043-5945
Phone: (678) 407-2222
Fax: (678) 407-2266
Website:
Map and Directions
Authorized official contact:
Name: George, Dave W. Physician Assistant (PA)
Phone: (678) 407-2222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 034091 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 049316 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002087 Georgia

Profile Details

NPI number 1306980263
LBN Legal business name Riverside Family Medical
DBA Doing business as Riverside Family Medical
Authorized official George, Dave W. Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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