Demarcus Anton Rideout
NPI #1104169648 in Columbia, Mississippi
Provider Information
- NPI Number
- 1104169648
- Entity Type
- Individual
- Name
- Demarcus Anton Rideout
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Respite Care
- Enumeration Date
- Apr 3, 2013
- Last Updated
- Apr 3, 2013
Practice Location
- Address
- 1119 HIGHWAY 13 S
- City
- Columbia
- State
- Mississippi
- ZIP Code
- 39429-8226
- Phone
- (601) 441-7434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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