Aldridge, Marcenia

Aldridge, Marcenia is an individual health care provider with primary practice located at 300 Rawls Dr Ste 600 , Mccomb MS 39648-2862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Aldridge, Marcenia can be contacted via phone (601) 249-4415.

Contact Information

Primary practice address
300 Rawls Dr Ste 600 Mccomb MS 39648-2862
Fax: (601) 249-4474
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R749464 Mississippi

Profile Details

NPI number 1508815713
LBN Legal business name Aldridge, Marcenia
Credentials CNFP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Dec 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508815713 NPPES
Mississippi MEDICAID 00125563

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