| Riverside Hampton Roads Neurology | |
|
1807 S Church St Ste 114 Smithfield VA 23430-1862 | |
| (757) 534-5100 | |
| (757) 534-5395 |
| Full Name | Riverside Hampton Roads Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1807 S Church St, Smithfield, Virginia |
| Authorized Official Name and Position | Ernest Padden (CEO) |
| Authorized Official Contact | 7575944006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Hampton Roads Neurology 856 J Clyde Morris Blvd Ste A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Hampton Roads Neurology 1807 S Church St Ste 114 Smithfield VA 23430-1862 Ph: (757) 534-5100 |
| NPI Number | 1700113222 |
|---|---|
| Provider Enumeration Date | 11/04/2009 |
| Last Update Date | 11/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700113222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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