| Riverside King William Medical Center | |
|
4917 Richmond Tappahannock Hwy Suite 1-b Aylett VA 23009-3416 | |
| (804) 769-1245 | |
| (804) 769-1342 |
| Full Name | Riverside King William Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 4917 Richmond Tappahannock Hwy, Aylett, Virginia |
| Authorized Official Name and Position | James Lesnick (VICE PRESIDENT) |
| Authorized Official Contact | 7575944006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside King William Medical Center 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside King William Medical Center 4917 Richmond Tappahannock Hwy Suite 1-b Aylett VA 23009-3416 Ph: (804) 769-1245 |
| NPI Number | 1003118860 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 10/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003118860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| 207R00000X | Internal Medicine | (Virginia) | Secondary |
| 208000000X | Pediatrics | (Virginia) | Secondary |
Aylett Family Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7864 Richmond Tappahannock Hwy, Aylett, VA 23009 Phone: 804-769-2015 | |
Cvhs King William Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11814 King William Rd, Aylett, VA 23009 Phone: 804-769-3022 Fax: 804-769-1253 |