Individual
DR. HARVARD KEITH RIDDLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22995 HIGHWAY 76 E, CLINTON, SC 29325-7529
(864) 833-0038
(864) 833-0520
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17588
SC
207WX0120X
Cornea and External Diseases Specialist Physician
17588
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175884
—
SC
01
—
P00032772
RAILROAD MEDICARE
SC
Enumeration date
06/23/2006
Last updated
04/24/2026
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