| Riverstonemd Pc | |
|
101 Riverstone Vista Blue Ridge GA 30513-6648 | |
| (706) 632-4400 | |
| (706) 632-3585 |
| Full Name | Riverstonemd Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Riverstone Vista, Blue Ridge, Georgia |
| Authorized Official Name and Position | Peggy Niece Trigg (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7066328787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverstonemd Pc 101 Riverstone Vis Blue Ridge GA 30513-6648 Ph: (706) 632-4400 | Riverstonemd Pc 101 Riverstone Vista Blue Ridge GA 30513-6648 Ph: (706) 632-4400 |
| NPI Number | 1902943921 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 05/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902943921 | NPI | - | NPPES |
| 890252M | Medicaid | NC | |
| 300029865F | Medicaid | GA |
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