DR. Charles L Ridley III, M.D.

NPI #1992718175 in Macon, Georgia

Provider Information

NPI Number: 1992718175
Entity Type: Individual
Name: DR. Charles L Ridley III, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 15, 2006
Last Updated: Feb 27, 2008

Practice Location

Address: 2266 INGLESIDE AVE
City: Macon
State: Georgia
ZIP Code: 31204-2032
Phone: (478) 745-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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