Riddick, Meredith Thomas

Riddick, Meredith Thomas is an individual health care provider with primary practice located at 11660 Alpharetta Hwy Suite 420, Roswell GA 30076-4943. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Riddick, Meredith Thomas can be contacted via phone (770) 442-5882.

Contact Information

Primary practice address
11660 Alpharetta Hwy Suite 420 Roswell GA 30076-4943
Phone: (770) 442-5882
Fax: (770) 664-6134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022269 Georgia

Profile Details

NPI number 1285726349
LBN Legal business name Riddick, Meredith Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285726349 NPPES
Georgia MEDICAID 000244329F

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