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1184761488
NATHAN ALVAH RIDGEWAY
KINGSPORT, TN
NPI
1184761488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD4673)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. NATHAN ALVAH RIDGEWAY M. D.
1105 W STONE DR
KINGSPORT, TN 37660-2558
Phone number: 423-246-0010
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Mailing Address
Dr. NATHAN ALVAH RIDGEWAY M. D.
2006 BIRCHFIELD PVT CT
KINGSPORT, TN 37660-6428
Phone number: 423-392-4622
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