Individual
TIMOTHY RYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 493-6401
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
18283
TN
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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