SUSAN C HERNDON

RIVERSIDE PHYSICIAN SERVICES INC

Dr SUSAN C HERNDON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017 from Duke University School Of Medicine.

Contact

RIVERSIDE PHYSICIAN SERVICES INC

17452 RICHMOND RD
CALLAO
VA
224352420

Tel: 8045296141

SUSAN C HERNDON Information

Npi 1114432812
Pac Id 7416217112
Professional Enrollment Id I20180126001785
Last Name HERNDON
First Name SUSAN
Middle Name C
Suffix
Gender F
Credential
Medical School Name DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RIVERSIDE PHYSICIAN SERVICES INC
Group Practice Pac Id 5092608448
Number Of Group Practice Members 527
Line 1 Street Address 17452 RICHMOND RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CALLAO
State VA
Zip Code 224352420
Phone Number 8045296141
Hospital Affiliation Ccn 1 490084
Hospital Affiliation Lbn 1 RIVERSIDE TAPPAHANNOCK HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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