Raymond Aldridge MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

049415 Issued in GA

Legal business name

RAYMOND ALDRIDGE MD PC

Practice address

1812 Lee Ave
Tifton, GA 31794-3639

Phone

(229) 382-5114

NPI assigned

Jan 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raymond Aldridge, M. D.

Title

Physicianowner

Phone

(229) 891-3325

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1851441687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#3 HOSPITAL PARK",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686772",
            "telephone_number": "229-891-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 LEE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943639",
            "telephone_number": "229-382-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND ALDRIDGE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIANOWNER",
        "authorized_official_telephone_number": "229-891-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "049415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000885321G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Center of South Georgia, LLC
• Rehabilitation Services of Tifton, Inc.

• Otolaryngology Physician in Tifton, GA
• Providers in Tifton, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.