Individual provider · Type 1 NPI

Phillip Patrick Rideout, MD

Vascular Surgery Physician · Gainesville, GA

NPI number 1093153116 Active

Practice location

200 S Enota Dr NE Ste 360
Gainesville, GA 30501-3466

Call (770) 219-4000 Map

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Other practice locations

  • 1924 Alcoa Hwy # U-11, Knoxville, TN 37920 · (865) 305-9006

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X6088 (GA)
Vascular Surgery Physician Primary 2086S0129X73048 (GA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

10 other providers at this address

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About NPI 1093153116

Phillip Patrick Rideout, MD's National Provider Identifier is 1093153116, issued on Jun 11, 2013. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Gainesville, GA. The record was last updated on Jan 22, 2021.