Susan Boyle, | |
100 Fairview Dr, Franklin, VA 23851-1238 | |
(919) 403-2028 | |
(919) 419-7247 |
Full Name | Susan Boyle |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 100 Fairview Dr, Franklin, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417997073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 0101058110 (Virginia) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
---|---|
Susan Boyle, 3211 Shannon Rd, Suite 300, Durham, NC 27707-6322 Ph: (919) 403-2028 | Susan Boyle, 100 Fairview Dr, Franklin, VA 23851-1238 Ph: (919) 403-2028 |
Dr. Olivia Rae Mohan, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6100 | |
Dr. Dale L. Freier, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6150 | |
Mary Ann Mclaurin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6149 | |
Dr. Jeffrey D Johnson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6100 | |
Justin Broughton, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 919-403-2028 Fax: 919-419-7247 | |
Dr. Kelly Sue Harvey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Fairview Dr, Franklin, VA 23851 Phone: 757-569-6150 |