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CHARLES E ELDRIDGE MD

Adolescent Medicine >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1629160635

Individual Registrant:
 CHARLES E ELDRIDGE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
109 MEDICAL PARK DR SUITE B ANDALUSIA, AL 36420-5323 US
Tel: 334-222-3555  Fax: 334-222-2401

Contact information for business:
109 MEDICAL PARK DR SUITE B ANDALUSIA, AL 36420-5323 US
Tel: 334-222-3555  Fax: 334-222-2401

Registration Information:
NPI: 1629160635
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080A0000XAllopathic & Osteopathic Physicians
Pediatrics
Adolescent Medicine
AL16342

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD51087383AL01




HEALTH CARE JOBS AL - Page 1



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