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Contact Information

STANLEY L RIDNER III
365 STOUT DRIVE
SUITE 160
JOHNSON CITY, TN37614
 Phone: 423-439-4225
 Fax: 423-439-4560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STANLEY L RIDNER III · (Male)

NPI Number 1083750590
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2007
Last updated 01/22/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 23528
  • TN Other 23528 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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