Individual
RUTH PANNELL CRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Mailing address
5 EXECUTIVE CIR, SAVANNAH, GA 31406-3345
(912) 355-2400
(912) 355-5324
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
056616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01067792
AMERIGROUP
GA
05
—
796304669C
—
GA
05
—
796304669D
—
GU
05
—
G56616
—
SC
Enumeration date
06/26/2006
Last updated
05/23/2008
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