Riverside Tangier Medical Center | |
16186 Main Ridge Road Tangier VA 23440 | |
(804) 891-2412 | |
(804) 891-2493 |
Full Name | Riverside Tangier Medical Center |
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Speciality | Family Medicine |
Location | 16186 Main Ridge Road, Tangier, 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 |
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Riverside Tangier Medical Center 856 J Clyde Morris Blvd Suite A Newport News VA 23601-1318 Ph: (757) 594-4006 | Riverside Tangier Medical Center 16186 Main Ridge Road Tangier VA 23440 Ph: (804) 891-2412 |
NPI Number | 1578716981 |
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Provider Enumeration Date | 10/29/2008 |
Last Update Date | 03/21/2022 |
Identifier | Type | State | Issuer |
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1578716981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (Virginia) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | (Virginia) | Secondary |