Individual
DR. JOHN ALSTON RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 PATTERSON ST, SUITE 502, NASHVILLE, TN 37203-1562
(615) 515-1900
(615) 292-4633
Mailing address
2400 PATTERSON ST, SUITE 502, NASHVILLE, TN 37203-1562
(615) 515-1900
(615) 292-4633
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
37285
TN
207RI0011X
Interventional Cardiology Physician
Primary
37285
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505355
—
TN
01
—
4187300
BCBS
TN
05
—
7100042790
—
KY
01
—
P00614599
RR MEDICARE
TN
Enumeration date
12/21/2007
Last updated
02/09/2022
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