Organization
HAMPTON ROADS CARDIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK E RIDLEY MD (PRESIDENT)
(757) 226-0870
Entity
Organization
Contact information
Practice address
4000 COLISEUM DR, SUITE 100, HAMPTON, VA 23666-5906
(757) 726-0870
Mailing address
4000 COLISEUM DR, SUITE 100, HAMPTON, VA 23666-5906
(757) 726-0870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101033473
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101033473
LICENSE
VA
Enumeration date
12/18/2007
Last updated
12/18/2007
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