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1023124161
MICHAEL JOE RIDLEY
CAMDEN, TN
NPI
1023124161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA1373)
Enumeration Date
2006-08-22
Last Update Date
2016-08-26
Business Address
-- MICHAEL JOE RIDLEY PA
306 HIGHWAY 641 N
CAMDEN, TN 38320-3012
Phone number: 731-584-1523
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Mailing Address
-- MICHAEL JOE RIDLEY PA
PO BOX 25
HUNTINGDON, TN 38344-0025
Phone number: 731-986-2213
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