Provider Demographics
NPI:1255470563
Name:RIVANNA FAMILY MEDICINE, P.C.
Entity Type:Organization
Organization Name:RIVANNA FAMILY MEDICINE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:434-296-6565
Mailing Address - Street 1:103 S PANTOPS DR
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8617
Mailing Address - Country:US
Mailing Address - Phone:434-296-6565
Mailing Address - Fax:434-296-1451
Practice Address - Street 1:103 S PANTOPS DR
Practice Address - Street 2:SUITE 107
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8617
Practice Address - Country:US
Practice Address - Phone:434-296-6565
Practice Address - Fax:434-296-1451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty