Ridley, Pamela J

Ridley, Pamela J is an individual health care provider with primary practice located at 2400 W Main St , Rock Hill SC 29732-8968. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ridley, Pamela J can be contacted via phone (803) 327-6103.

Contact Information

Primary practice address
2400 W Main St Rock Hill SC 29732-8968
Phone: (803) 327-6103
Fax: (803) 328-5443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2386 South Carolina

Profile Details

NPI number 1255409132
LBN Legal business name Ridley, Pamela J
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1255409132 NPPES
South Carolina Other 570629234005 BCBS

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