Ridgeway, Robert L

Ridgeway, Robert L is an individual health care provider with primary practice located at 12 W South St , Manning SC 29102-2925. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Ridgeway, Robert L can be contacted via phone (803) 433-4321.

Contact Information

Primary practice address
12 W South St Manning SC 29102-2925
Phone: (803) 433-4321
Fax: (803) 433-0075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14633 South Carolina

Profile Details

NPI number 1881689305
LBN Legal business name Ridgeway, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 21st, 2022 - about 2 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 1881689305 NPPES
South Carolina MEDICAID 146336

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