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DONALD MICHAEL RIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2509 N QUEEN ST, KINSTON, NC 28501-1632
(252) 522-0335
(252) 522-4016
Mailing address
PO BOX 2429, KINSTON, NC 28502-2429
(252) 522-0335
(252) 522-4016

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28891
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71685
BCBS
NC
05
8971685
NC
Enumeration date
12/01/2005
Last updated
03/06/2024
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