Individual
DR. MITCHELL PAUL RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
BLDG 20 MEMORIAL AVE, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
NAVAL HOSPITAL CMP LJN PDTRY, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 450-3785
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DPM0000000778
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM0000000778
TN
Other
Enumeration date
07/24/2015
Last updated
10/24/2023
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