Individual
JUDITH V RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
631 COLISEUM DR, WINSTON-SALEM, NC 27106-5310
(336) 716-2255
(336) 716-7994
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7994
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
731
NC
Other
Enumeration date
12/19/2005
Last updated
08/30/2010
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