Individual
DR. JOHN ALDUS ALEXANDER SELDOMRIDGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 BROOKDALE DR, SUITE 300, STATESVILLE, NC 28677-3451
(704) 873-3250
(704) 873-2940
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00026711
AL
207X00000X
Orthopaedic Surgery Physician
Primary
2002-00995
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051556211
—
AL
05
—
5910969
—
NC
01
—
P00326415
RAILROAD MEDICARE
—
Enumeration date
07/29/2005
Last updated
08/15/2023
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