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Individual

MR. GEORGE ALFRED THOMAS RIDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1 MEDICAL CENTER DR., CLARKSBURG, WV 26301
(304) 623-3461
(304) 626-7726
Mailing address
1 MEDICAL CENTER DR., CLARKSBURG, WV 26301
(304) 623-3461
(304) 626-7726

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
BP00942651
WV

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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