Individual
MRS. COLLEEN HEATHER ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
748 MILES STILL RD, WAYCROSS, GA 31503-3134
(912) 337-3299
(912) 548-0872
Mailing address
748 MILES STILL RD, WAYCROSS, GA 31503-3134
(912) 337-3299
(912) 548-0872
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
693902
GA
Other
Enumeration date
05/30/2011
Last updated
05/30/2011
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