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Individual

MR. JOSEPH A RIEGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O., C.PED.

Contact information

Practice address
773 BELL RD, ANTIOCH, TN 37013-2112
(615) 731-3338
(615) 731-2338
Mailing address
773 BELL RD, ANTIOCH, TN 37013-2112
(615) 731-3338
(615) 731-2338

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CO004014
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009941554
AL
05
1454953
TN
01
165832900
ACS - DEPT OF LABOR
01
3048012
BLUE CROSS BLUE SHIELD
TN
05
900002072
KY
Enumeration date
10/02/2006
Last updated
06/10/2008
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