Individual
DR. PETER GILMER RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6381 S CHALKVILLE RD, TRUSSVILLE, AL 35173-6304
(205) 661-6600
(205) 661-6601
Mailing address
6381 S CHALKVILLE RD, TRUSSVILLE, AL 35173-6304
(205) 661-6600
(205) 661-6601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2654
AL
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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