Individual
PAMELA J RIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
2400 W MAIN ST, ROCK HILL, SC 29732-8968
(803) 327-6103
(803) 328-5443
Mailing address
1630 BOWATER RD, ROCK HILL, SC 29732-9508
(803) 366-5375
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570629234005
BCBS
SC
Enumeration date
12/01/2006
Last updated
07/08/2007
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