Individual
MICHAEL RIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
514 S MAIN ST STE A, HINESVILLE, GA 31313-4355
(912) 448-2000
Mailing address
514 S MAIN ST STE A, HINESVILLE, GA 31313-4355
(912) 448-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9972
GA
Other
Enumeration date
11/19/2020
Last updated
03/30/2022
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