Individual
DR. MELVIN R ELDRIDGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8910 MAIN ST, WOODSTOCK, GA 30188-4916
(770) 924-1818
(770) 928-5731
Mailing address
8910 MAIN ST, WOODSTOCK, GA 30188-4916
(770) 924-1818
(770) 928-5731
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1721
GA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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