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ROBERT S RIDDICK MDPC NPI 1760692388


NPI Information

NPI: 1760692388
Provider Name: ROBERT S RIDDICK MDPC

Doing Business As: RIDDICK SURGICAL SERVICES

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
106 QUEEN STREET
SUITE 4
VIDALIA, GA
ZIP 30474
Phone: (912) 538-8545
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ROBERT S RIDDICK MDPC is a surgery in Vidalia, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ROBERT S RIDDICK MDPC NPI is 1760692388. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Riddick Surgical Services.

The provider's business location address is:

106 QUEEN STREET
SUITE 4
VIDALIA, GA
ZIP 30474
Phone: (912) 538-8545
Fax: (912) 538-8547

The provider's authorized official is Robert Steven Riddick .
The authorized official title is Physician Owner and has the following contact phone number (912) 538-8545.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 12/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery054933GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP6799OTHERGEORGIAMEDICARE GROUP NUMBER
2F94339MEDICARE UPINGEORGIA
3GRP6799MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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