Doctor Name: | SYLVIA A ELDRIDGE |
NPI Number: | 1609978576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PA366 |
Business Practice Address: | 700 Montgomery Hwy Suite 210 Vestavia Hills, AL - 352161866 |
Business Phone Number: | 2058230151 |
Business Fax Number: | 2058235218 |
Mailing Address: | 700 Montgomery Hwy Ste 210, VESTAVIA HILLS |
State: | AL |
Postal Code: | 352161869 |
Phone Number: | 2055157182 |
Fax Number: | 2058235218 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |