Individual
CARSON RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Mailing address
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138-2205
(901) 759-3100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
63743
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07402846
—
MS
05
—
Q043288
—
TN
Enumeration date
04/10/2015
Last updated
10/06/2022
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