Individual
MARTHA HIGGINBOTHAM ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 FRIENDSHIP STREET, SUITE 200, NEWPORT, RI 02840
(401) 848-5556
(401) 845-4379
Mailing address
1061 HARMON AVE., DEPT. OF OB/GYN, 1061 HARMON AVE., DEPT OF OB/GYN, FORT STEWART, GA 31314-0610
(912) 435-6862
(912) 435-6017
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17213
AL
207V00000X
Obstetrics & Gynecology Physician
65781
WI
207V00000X
Obstetrics & Gynecology Physician
MD16490
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009941501
—
AL
01
—
051559122
MEDICARE
AL
01
—
510 04824
BCBS
AL
01
—
511-20169
BCBS
AL
01
—
515 39477
BCBS
AL
01
—
MD16490
STATE MEDICAL LICENSE
RI
Enumeration date
10/04/2006
Last updated
01/03/2019
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