| Riverside White Stone Family Practice | |
|
30 Shady Ln White Stone VA 22578-2601 | |
| (804) 435-3133 | |
| (804) 435-1311 |
| Full Name | Riverside White Stone Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Shady Ln, White Stone, 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 White Stone Family Practice 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside White Stone Family Practice 30 Shady Ln White Stone VA 22578-2601 Ph: (804) 435-3133 |
| NPI Number | 1528211158 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528211158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
June B Daffeh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 The Pt, White Stone, VA 22578 Phone: 804-438-1106 | |
White Stone Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Shady Lane, White Stone, VA 22578 Phone: 804-435-3133 Fax: 804-435-1311 |