Doctor Name: | SARAH SUZANNE RIDGEWAY |
NPI Number: | 1245249176 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | RN156030 NP-C |
Business Practice Address: | 2383 Third St Folkston, GA - 315378917 |
Business Phone Number: | 9124962697 |
Business Fax Number: | 9124961139 |
Mailing Address: | 2383 Third St, FOLKSTON |
State: | GA |
Postal Code: | 315378917 |
Phone Number: | 9124962697 |
Fax Number: | 9124961139 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | RN156030 NP-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |