Organization
RAYMOND ALDRIDGE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND ALDRIDGE M. D. (PHYSICIANOWNER)
(229) 891-3325
Entity
Organization
Contact information
Practice address
1812 LEE AVE, TIFTON, GA 31794-3639
(229) 382-5114
Mailing address
#3 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 891-3325
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
049415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000885321G
—
GA
Enumeration date
01/12/2007
Last updated
08/01/2012
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