Ridgway, Mildred

Ridgway, Mildred is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 750, Jackson MS 39216-4643. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Ridgway, Mildred can be contacted via phone (601) 987-3033.

Contact Information

Primary practice address
971 Lakeland Dr Ste 750 Jackson MS 39216-4643
Fax: (601) 987-8768
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 18985 Mississippi

Profile Details

NPI number 1134111867
LBN Legal business name Ridgway, Mildred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 23rd, 2012 - about 12 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 1134111867 NPPES
Louisiana MEDICAID 2195115

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