NPI 1033496070

Riverdale Medical Center LLC

Organisation General Practice Physician Riverdale, GA

Practice location

Address: 189 Medical Way Suite B, Riverdale, GA 30274-4905
Phone: (770) 907-2333
Fax: (770) 907-2299

Authorised official

Name: Shelly Moreland
Title: Manager
Phone: (404) 543-6949

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Georgia →

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

Other Physical Medicine & Rehabilitation providers in Georgia →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Georgia →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Registry record

NPI: 1033496070
Entity type: Organization
NPI issued: 4 Nov 2011
Record last updated: 4 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.