Individual
DR. NATHAN ALVAH RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1105 W STONE DR, KINGSPORT, TN 37660-2558
(423) 246-0010
Mailing address
2006 BIRCHFIELD PVT CT, KINGSPORT, TN 37660-6428
(423) 392-4622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD4673
TN
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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