Individual
TRACY DEBOLT RIDGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
649 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7950
(803) 469-7560
Mailing address
649 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7950
(803) 469-7560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32777
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327774
—
SC
Enumeration date
07/15/2010
Last updated
07/29/2019
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