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Derrick E Ridley, MD
Specialist in Hampton, Virginia
NPI 1679530703

Derrick E Ridley is a Specialist based in Hampton, VA. Derrick E Ridley practices in Hampton, VA and has the professional credentials of MD. The NPI Number for Derrick E Ridley is 1679530703 and holds a License No. 0101033473 (Virginia).

The current practice location address for Derrick E Ridley is 4000 Coliseum Dr, Hampton, VA and can be reached out via phone at 757-827-2200 and via fax at 757-827-2266. You can also correspond with Derrick E Ridley through the mailing address at 4000 COLISEUM DR, HAMPTON, VA - 23666-5906 (mailing address contact number: 757-827-2200).

Location: 4000 Coliseum Dr, Hampton, VA, 23666-5906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679530703
Provider Name
Derrick E Ridley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4000 Coliseum Dr, Hampton, VA, 23666-5906
Phone Number
757-827-2200
Fax Number
757-827-2266
Provider Enumeration Date
05/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006071147 05 VA
institution
Provider Business Practice Location Address Details
Address
4000 Coliseum Dr
City
Hampton
State
Virginia
Zip
23666-5906
Phone Number
757-827-2200
Fax Number
757-827-2266
person
Provider Business Mailing Address Details
Address
4000 Coliseum Dr
City
Hampton
State
Virginia
Zip
23666-5906
Phone Number
757-827-2200
Fax Number
757-827-2266
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101033473 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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