Herbert W. Ridyard JR., MD

NPI #1043246887 in Jefferson City, Tennessee

Provider Information

NPI Number: 1043246887
Entity Type: Individual
Name: Herbert W. Ridyard JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jun 23, 2006
Last Updated: Sep 8, 2020

Practice Location

Address: 120 HOSPITAL DR STE 260
City: Jefferson City
State: Tennessee
ZIP Code: 37760-5283
Phone: (865) 471-2250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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