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1992718175
CHARLES L RIDLEY
MACON, GA
NPI
1992718175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 025476)
Enumeration Date
2006-08-15
Last Update Date
2008-02-27
Business Address
Dr. CHARLES L RIDLEY M.D.
2266 INGLESIDE AVE
MACON, GA 31204-2032
Phone number: 478-745-6050
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Mailing Address
Dr. CHARLES L RIDLEY M.D.
2266 INGLESIDE AVE
MACON, GA 31204-2032
Phone number: 478-745-6050
Copy
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