Individual
CAROLINE GRAY RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
527 MILLS AVE # 201A, GREENVILLE, SC 29605-5602
(864) 603-1450
Mailing address
106 EDMONDSTON CT, MAULDIN, SC 29662-3161
(864) 561-7835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22662
SC
Other
Enumeration date
07/13/2019
Last updated
08/28/2020
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