Individual
MRS. SUSAN CAMPBELL RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2399B SMITH AVE, PENSACOLA, FL 32507-1062
(919) 935-4558
Mailing address
2399B SMITH AVE, PENSACOLA, FL 32507-1062
(919) 935-4558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3388
MD
133V00000X
Registered Dietitian
L003675
NC
Other
Enumeration date
11/16/2006
Last updated
11/09/2012
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