Individual
CHARLIE D RIDGEWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
150 BOBBY DODD WAY, ATLANTA, GA 30332-0001
(404) 385-4115
(404) 894-0695
Mailing address
150 BOBBY DODD WAY, ATLANTA, GA 30332-0001
(404) 385-4115
(404) 894-0695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6601
GA
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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