Michael Joe Ridley, PA

NPI #1023124161 in Camden, Tennessee

Provider Information

NPI Number: 1023124161
Entity Type: Individual
Name: Michael Joe Ridley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 22, 2006
Last Updated: Aug 26, 2016

Practice Location

Address: 306 HIGHWAY 641 N
City: Camden
State: Tennessee
ZIP Code: 38320-3012
Phone: (731) 584-1523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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