Riverstonemd Pc
LBN: Riverstonemd Pc
Riverstonemd Pc is an health care organization with primary practice located at 101 Riverstone Vista , Blue Ridge GA 30513-6648. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Riverstonemd Pc can be contacted via phone (706) 632-4400, or through Trigg, Peggy Niece via phone (706) 632-8787.
Contact Information
Primary practice address
101 Riverstone Vista
Blue Ridge GA 30513-6648
Phone: (706) 632-4400
Fax: (706) 632-3585
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002589 | Georgia |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 56316 | Georgia |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 56316 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004460 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 043489 | Georgia |
Profile Details
NPI number | 1902943921 |
---|---|
LBN Legal business name | Riverstonemd Pc |
DBA Doing business as | |
Authorized official | Trigg, Peggy Niece Registered Nurse (RN) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 31st, 2007 |
Last updated | May 18th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902943921 | NPPES |
North Carolina | MEDICAID | 890252M | |
North Carolina | MEDICAID | 300029865F |
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