Most Relevant Information
Provider Data
| NPI Number: | 1003409806 |
| Provider Name: | FREDDIE L BALDRIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2021 |
| Last Updated: | 02/12/2021 |
Provider Practice Location
2215 TOBACCO RD STE I
AUGUSTA
GA
309068112
Practice Location Phone/Fax
| Phone: | 7063051102 |
| Fax: |
Provider Mailing Location
2215 TOBACCO RD STE I
AUGUSTA
GA
309068112
Provider Mailing Phone/Fax
| Phone: | 7063051102 |
| Fax: |