Individual
CHARLOTTE RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 HOSPITAL DRIVE, SUITE 5D, HENDERSONVILLE, NC 28792-5247
(828) 650-8032
(828) 650-8033
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9801037
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
9801037
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160U
BCBS OF NC
NC
05
—
8985116
—
NC
01
—
N01037
SC MEDICAID
SC
Enumeration date
03/21/2006
Last updated
07/06/2016
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