Provider First Line Business Practice Location Address:
618 HOSPITAL ROAD
Provider Second Line Business Practice Location Address:
RIVERSIDE TAPPAHANNOCK HOSPITAL
Provider Business Practice Location Address City Name:
TAPPAHANNOCK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22560-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-443-6044
Provider Business Practice Location Address Fax Number:
757-867-7547
Provider Enumeration Date:
11/23/2005