NPI 1629160635 · live from the CMS NPI Registry
Charles E Eldridge, MD
Pediatrics, Adolescent Medicine in Andalusia, AL. National Provider Identifier 1629160635, active.
NPI record
| NPI | 1629160635 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 614 W Bypass, Andalusia, AL 36420 |
| Practice phone | 334-222-3555 |
| Enumerated | September 28, 2006 |
| Last updated | March 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 16342 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.