Individual
SARAH SUZANNE RIDGEWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2383 THIRD ST, FOLKSTON, GA 31537-8917
(912) 496-2697
(912) 496-1139
Mailing address
2383 THIRD ST, FOLKSTON, GA 31537-8917
(912) 496-2697
(912) 496-1139
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN156030 NP-C
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338490004C
—
GA
Enumeration date
08/07/2006
Last updated
12/11/2012
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