Individual
ANDRIA P CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1115 AZALEA PLACE, BREWTON, AL 36426
(251) 809-3925
(251) 809-6058
Mailing address
1115 AZALEA PLACE, BREWTON, AL 36426
(251) 809-3925
(251) 809-6058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4357
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51505815
BCBS
—
05
—
631708021
—
AL
Enumeration date
03/10/2006
Last updated
12/31/2015
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