Akridge, John W

Akridge, John W is an sole proprietor health care provider with primary practice located at 1096 Wood Valley Rd , Waycross GA 31503-8586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Akridge, John W can be contacted via phone (912) 283-1699.

Contact Information

Primary practice address
1096 Wood Valley Rd Waycross GA 31503-8586
Phone: (912) 283-1699
Fax: (912) 283-1971
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 027336 Georgia

Profile Details

NPI number 1083609788
LBN Legal business name Akridge, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated May 29th, 2009 - about 17 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 1083609788 NPPES
Georgia MEDICAID 000244098F
Georgia MEDICAID 000244098E
Georgia Other P00060623

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