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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DEON TRAVELL RIDGELL, PA

Active Sole Proprietor

MR. DEON TRAVELL RIDGELL, PA is a Physician Assistant healthcare provider located in FORT LIBERTY, North Carolina. NPI 1487721874 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT LIBERTY, NC

Registration Details

NPI Number
1487721874
Provider Type
Individual
Gender
Male
NPI Issued
Nov 29, 2006 (19.524053608862 yrs)
Last Updated
Jan 8, 2024
License
0010-03495 (NC)
Sole Proprietor
Yes

Practice Information

Address
2817 REILLY ST
FORT LIBERTY, NC, 283105647
Browse NC providers · Browse ZIP 28310
Phone
9109074005
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT LIBERTY, NC

Name Credential NPI
MS. RONNITA EVETTE HOLDEN PA-C 1063487890
MS. CHRISTINA HILDEGARDE HORVATH PA-C 1366494338
TERRY DEAN BLACKWELL PA-C 1417054875
ANDREW E. ERVIN PA 1497852552
MR. KANE D MORGAN PA-C 1679660518
MS. LAUREN VON ALMEN STURM PA-C 1346494424
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.