Organization
RIDDLE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIE BETH RIDDLE MD (PRESIDENT)
(931) 520-8457
Entity
Organization
Contact information
Practice address
315 N WASHINGTON AVE, SUITE 230, COOKEVILLE, TN 38501-2603
(931) 520-8457
(931) 520-6373
Mailing address
315 N WASHINGTON AVE, SUITE 230, COOKEVILLE, TN 38501-2603
(931) 520-8457
(931) 520-6373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46308
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
10/22/2014
Last updated
10/22/2014
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