RIVERSIDE FAMILY MEDICAL

Physician Assistant - Medical

Active Organization
NPI: 1306980263

Practice Address

1960 RIVERSIDE PKWY STE 106
Lawrenceville, GA 30043

Phone: (678) 407-2222

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 034091 (GA)
Physical Medicine & Rehabilitation 208100000X No 049316 (GA)
Physician Assistant - Medical 363AM0700X Yes 002087 (GA)

Frequently Asked Questions

NPI 1306980263 is the National Provider Identifier for RIVERSIDE FAMILY MEDICAL, a Physician Assistant - Medical provider located in Lawrenceville, GA. This NPI was enumerated on February 16, 2007.

Quick Facts

NPI
1306980263
Type
Organization
Enumerated
Feb 16, 2007
Last Updated
Sep 11, 2025

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