Provider First Line Business Practice Location Address:
9524 HOSPITAL AVENUE
Provider Second Line Business Practice Location Address:
RIVERSIDE EASTERN SHORE PHYSICIANS & SURGEONS
Provider Business Practice Location Address City Name:
NASSAWADOX
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23413
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-442-6600
Provider Business Practice Location Address Fax Number:
757-442-3839
Provider Enumeration Date:
09/01/2016