NPI 1164733580 DR. GWENDOLYN LAVONNE RIDDICK D.O. CHESAPEAKE VA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Gwendolyn Lavonne Riddick - NPI: 1164733580

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. GWENDOLYN LAVONNE RIDDICK
NPI Number: 1164733580
Entity Type Code: Individual (1)
Gender: F
Credentials: D.O.
License Number: 0102203058
Business Practice Address: 612 Kingsborough Sq
Suite 200 Chesapeake, VA - 233205041
Business Phone Number: 7574360167
Business Fax Number: 7574360236
Mailing Address: 612 Kingsborough Sq, Suite 200
CHESAPEAKE
State: VA
Postal Code: 233205041
Phone Number: 7574360167
Fax Number: 7574360236
NPI Enumeration Date: 06/30/2010
NPI Last Update Date: 12/31/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207V00000X
License Number: 0102203058
Healthcare Provider Taxonomy:
(Secondary)
Y
State: VA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Obstetrics & Gynecology
Taxonomy Specialization:
Taxonomy Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


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