Individual
MRS. PATRICIA FERNANDEZ RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2900
Mailing address
138 MYERS CREEK DR, HOPKINS, SC 29061-9764
(915) 526-3958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244665
SC
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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