Individual
DR. RAYMOND ALDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 891-3325
Mailing address
#3 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 891-3325
(229) 890-8702
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
049415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000885321H
—
GA
05
—
000885321I
—
GA
Enumeration date
06/30/2006
Last updated
07/21/2022
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