Individual provider · NPI-1

Jeannie Stamps Aldridge, CAA

Anesthesiologist Assistant · Atlanta, GA

NPI number1144872789
StatusActive
Last updated in NPPESJul 14, 2019

Details

NPI
1144872789
Entity type
Individual (NPI-1)
Name
Jeannie Stamps Aldridge
Credential
CAA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2019
Last updated
Jul 14, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant––Yes

Practice location

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Phone 205-412-9354

Mailing address

210 Parkmont Ct
Roswell, GA 30076-2524

Phone 205-412-9354

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