JONATHAN R RIDENOUR

MONTGOMERY, AL
NPI1053845776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  PA.1244)
Enumeration Date2017-04-19
Last Update Date2017-04-19
Business Address
Mr. JONATHAN R RIDENOUR PA-C
2105 E SOUTH BLVD
MONTGOMERY, AL 36116-2409
Phone number: 334-288-2100
Mailing Address
Mr. JONATHAN R RIDENOUR PA-C
8400 COUNTRY CLUB WAY APT. L29
KNOXVILLE, TN 37923-1844
Phone number: 865-567-2465
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