Organization
PARKRIDGE MEDICAL ASSOCIATES LLC
Active
Parent organization
HOSPITAL CORP., LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL CORP., LLC
Authorized official
JEFF RYDBURG (VP)
(615) 373-7415
Entity
Organization
Contact information
Practice address
1013 EXECUTIVE DRIVE, SUITE 101, HIXSON, TN 37343
(423) 648-7191
Mailing address
1013 EXECUTIVE DRIVE, SUITE 101, HIXSON, TN 37343
(423) 648-7191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732869
—
TN
Enumeration date
06/29/2006
Last updated
12/11/2007
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