Individual
CHARLES E ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
614 W BYPASS, ANDALUSIA, AL 36420-4731
(334) 222-3555
(334) 427-9522
Mailing address
614 W BYPASS, ANDALUSIA, AL 36420-4731
(334) 222-3555
(334) 427-9522
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
16342
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009203410
—
AL
01
—
51087383
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/28/2006
Last updated
03/15/2023
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