| Riverview Family Medicine, Llc | |
|
2450 India Hook Rd Rock Hill SC 29732-3270 | |
| (803) 366-7443 | |
| Not Available |
| Full Name | Riverview Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2450 India Hook Rd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jennifer Randel (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 8033667443 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Family Medicine, Llc 2450 India Hook Rd Rock Hill SC 29732-3270 Ph: (803) 366-7443 | Riverview Family Medicine, Llc 2450 India Hook Rd Rock Hill SC 29732-3270 Ph: (803) 366-7443 |
| NPI Number | 1730740333 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 05/12/2020 |
| Medicare PECOS PAC ID | 2466889399 |
|---|---|
| Medicare Enrollment ID | O20200305000497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730740333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Theresa L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518927870 PECOS PAC ID: 8426067356 Enrollment ID: I20060420000311 |
| Provider Name | Anju Choudhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942266960 PECOS PAC ID: 6002827763 Enrollment ID: I20060509000483 |
| Provider Name | Jason Tyler Given |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275739922 PECOS PAC ID: 8123202868 Enrollment ID: I20110405000351 |
| Provider Name | Fabiana Rievers Troxler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235520818 PECOS PAC ID: 3779890264 Enrollment ID: I20161109002458 |
| Provider Name | Brittany Yarbrough Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760088140 PECOS PAC ID: 1557706405 Enrollment ID: I20240229004386 |
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