Riddick Surgical Services

LBN: Robert S Riddick Mdpc
Riddick Surgical Services is an health care organization with primary practice located at 106 Queen Street Suite 4, Vidalia GA 30474. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Robert S Riddick Mdpc can be contacted via phone (912) 538-8545, or through Riddick, Robert Steven via phone (912) 538-8545.

Contact Information

Primary practice address
106 Queen Street Suite 4 Vidalia GA 30474
Phone: (912) 538-8545
Fax: (912) 538-8547
Website:
Map and Directions
Authorized official contact:
Name: Riddick, Robert Steven Doctor of Medicine (MD)
Phone: (912) 538-8545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 054933 Georgia

Profile Details

NPI number 1760692388
LBN Legal business name Robert S Riddick Mdpc
DBA Doing business as Riddick Surgical Services
Authorized official Riddick, Robert Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Dec 28th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760692388 NPPES
Georgia Other GRP6799 MEDICARE GROUP NUMBER

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