Riverdale Medical Center LLC

NPI #1033496070 in Riverdale, Georgia

Provider Information

NPI Number: 1033496070
Entity Type: Organization
Organization Name: Riverdale Medical Center LLC
Primary Specialty: General Practice
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 189 MEDICAL WAY
Address 2: SUITE B
City: Riverdale
State: Georgia
ZIP Code: 30274-4905
Phone: (770) 907-2333

Authorized Official

Name: SHELLY MORELAND
Title: MANAGER
Phone: (404) 543-6949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine	2081P2900X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X
General Practice	208D00000X	Primary

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