RIVERDALE MEDICAL CENTER LLC NPI 1033496070

NPI Information

NPI: 1033496070
Provider Name: RIVERDALE MEDICAL CENTER LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
189 MEDICAL WAY
SUITE B
RIVERDALE, GA
ZIP 30274
Phone: (770) 907-2333
Get Directions

RIVERDALE MEDICAL CENTER LLC is a general practice in Riverdale, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee RIVERDALE MEDICAL CENTER LLC NPI is 1033496070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

189 MEDICAL WAY
SUITE B
RIVERDALE, GA
ZIP 30274-905
Phone: (770) 907-2333
Fax: (770) 907-2299

The provider's authorized official is Shelly Moreland .
The authorized official title is Manager and has the following contact phone number (404) 543-6949.

The enumeration date for this NPI number is 11/4/2011 and was last updated on 11/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	GEORGIA	No
2	208VP0000X	Pain Medicine	Pain Medicine	GEORGIA	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	GEORGIA	No
4	208D00000X	General Practice		GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »