Individual
EDMOND F. RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2198
(706) 721-5748
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
052392
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000980504A
—
GA
01
—
10021981
SENTARA/OPTIMA
VA
05
—
1982793378
—
VA
01
—
304946
ANTHEM BCBS HEALTHKEEPERS
VA
05
—
G52392
—
SC
Enumeration date
10/12/2006
Last updated
03/19/2014
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