Individual
MARY ELIZABETH ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12 JACKSON HTS, JACKSON, KY 41339-6500
(606) 693-0199
Mailing address
12 JACKSON HTS, JACKSON, KY 41339-6500
(606) 693-0199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
232
KY
Other
Enumeration date
12/17/2008
Last updated
10/07/2010
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