Individual
MR. MICKEY ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
(662) 834-1321
(662) 834-5240
Mailing address
239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
(662) 834-1321
(662) 834-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R656151
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118986
—
MS
Enumeration date
03/19/2007
Last updated
07/08/2007
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