PHILLIP PATRICK RIDEOUT

GAINESVILLE, GA
NPI1093153116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0129X 
(Licence: GA  73048)
Additional Taxonomies208600000X Surgery
(Licence: GA  6088)
Enumeration Date2013-06-11
Last Update Date2021-01-22
Business Address
PHILLIP PATRICK RIDEOUT MD
200 S ENOTA DR NE STE 360
GAINESVILLE, GA 30501-3466
Phone number: 770-219-4000
Mailing Address
PHILLIP PATRICK RIDEOUT MD
PO BOX 742616
ATLANTA, GA 30374-2616
Phone number: 770-219-8420
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