Individual
PATRICIA ELLEN RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 COOK ROAD, ORANGEBURG, SC 29118
(803) 535-3961
(803) 535-3962
Mailing address
1101 COOK ROAD, PALMETTO HEALTH & WELLNESS CTR, ORANGEBURG, SC 29118
(803) 535-3961
(803) 535-3962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19256
SC
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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