NPI 1164113742
E C Rider LLC
Practice location
- Address
- 2815 Steven Dr, Johnson City, TN 37604-1936
- Phone
- (979) 922-9800
Authorised official
- Name
- Mitchell Paul Rider
- Title
- Podiatrist
- Phone
- (979) 922-9800
Registered specialties (2)
Nursing Facility/Intermediate Care Facility
Primary
Clinic/Center
Registry record
- NPI
- 1164113742
- Entity type
- Organization
- NPI issued
- 16 May 2023
- Record last updated
- 16 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.