Stanley Lee Ridner III
NPI #1083750590 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1083750590
- Entity Type
- Individual
- Name
- Stanley Lee Ridner III
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jan 22, 2018
Practice Location
- Address
- 365 STOUT DRIVE
- Address 2
- SUITE 160
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37614
- Phone
- (423) 439-4225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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