| Riddle Family Care | |
|
315 N Washington Ave Suite 230 Cookeville TN 38501-2603 | |
| (931) 520-8457 | |
| (931) 520-6373 |
| Full Name | Riddle Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 315 N Washington Ave, Cookeville, Tennessee |
| Authorized Official Name and Position | Emilie Beth Riddle (PRESIDENT) |
| Authorized Official Contact | 9315208457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riddle Family Care 315 N Washington Ave Suite 230 Cookeville TN 38501-2603 Ph: (931) 520-8457 | Riddle Family Care 315 N Washington Ave Suite 230 Cookeville TN 38501-2603 Ph: (931) 520-8457 |
| NPI Number | 1255735056 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255735056 | NPI | - | NPPES |
| PENDING | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46308 (Tennessee) | Primary |
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