Riverside Medical Group Pllc

NPI #1538379664 in Montgomery, West Virginia

Provider Information

NPI Number: 1538379664
Entity Type: Organization
Organization Name: Riverside Medical Group Pllc
Primary Specialty: Internal Medicine
Enumeration Date: May 24, 2007
Last Updated: Sep 4, 2007

Practice Location

Address: 401 6TH AVE
Address 2: SUITE 102
City: Montgomery
State: West Virginia
ZIP Code: 25136-2116
Phone: (304) 442-8381

Authorized Official

Name: SAMMAR ATASSI, M.D.
Title: OWNER
Phone: (304) 442-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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