NPI age
19 years
Enumerated 2007-05-23
● Active Type 2 · Organization
Robert S Riddick Mdpc
Robert S Riddick Mdpc is 1 of 1389 surgery organizations in Georgia.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Riddick
Physician Owner
Last NPPES update
2007-12-28
Source: monthly bulk 2026-05
How this organization compares
Across 1389 active surgery providers in Georgia.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
106 Queen Street, Suite 4
Vidalia, GA 30474
Mailing address
Po Box 1047
Vidalia, GA 304751047
Authorized official
Robert Steven Riddick, MD
Physician Owner
📞 9125388545
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP6799 | MEDICARE GROUP NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Riddick Surgical Services
Practice context
Single-site organization. Only one practice location on file.
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