Individual
ZACHARY COLE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
1211 DINAH SHORE BLVD, WINCHESTER, TN 37398-1107
(931) 967-6669
(931) 967-6606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2688
SC
Other
Enumeration date
01/31/2017
Last updated
04/30/2019
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