Rideout, Phillip Patrick

Rideout, Phillip Patrick is an individual health care provider with primary practice located at 200 S Enota Dr Ne Ste 360 , Gainesville GA 30501-3466. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Rideout, Phillip Patrick can be contacted via phone (770) 219-4000.

Contact Information

Primary practice address
200 S Enota Dr Ne Ste 360 Gainesville GA 30501-3466
Phone: (770) 219-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 6088 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 73048 Georgia

Profile Details

NPI number 1093153116
LBN Legal business name Rideout, Phillip Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2013
Last updated Jan 22nd, 2021 - about 3 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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