Individual
DR. JOHN ALSTON RIDDICK
Active
Individual
DR. JOHN ALSTON RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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