Riden, David J

Riden, David J is an individual health care provider with primary practice located at 3747 Roswell Rd Ste 201 , Marietta GA 30062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Riden, David J can be contacted via phone (770) 578-2868.

Contact Information

Primary practice address
3747 Roswell Rd Ste 201 Marietta GA 30062
Phone: (770) 578-2868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 39916 Georgia
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 31240 Tennessee

Profile Details

NPI number 1871588277
LBN Legal business name Riden, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Oct 30th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871588277 NPPES
Tennessee MEDICAID 3841062

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