Riley, James Dudley

Riley, James Dudley is an individual health care provider with primary practice located at 1825 Martha Berry Blvd Nw , Rome GA 30165-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Riley, James Dudley can be contacted via phone (706) 295-5331.

Contact Information

Primary practice address
1825 Martha Berry Blvd Nw Rome GA 30165-1625
Fax: (706) 236-6432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 031495 Georgia

Profile Details

NPI number 1285799536
LBN Legal business name Riley, James Dudley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Apr 29th, 2020 - about 6 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 1285799536 NPPES
Georgia MEDICAID 000429382B

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