Chris Phillip Ethridge in Jackson - Hand Surgery
Chris Phillip Ethridge - NPI 1386632560
Chris Phillip Ethridge is a Hand Surgery in Jackson, Mississippi. Chris Phillip Ethridge practices all healthcare services and medical treatments related to Hand Surgery. The NPI Number for Chris Phillip Ethridge is 1386632560. The last update date is 2011-11-17.
Chris Phillip Ethridge's current location address is 1325 E Fortification St, Jackson, Mississippi. You can contact this provider via phone number 6013544488 and fax number 6019145188. The mailing address for Chris Phillip Ethridge is 1325 E Fortification St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris Phillip Ethridge |
|---|---|
| Address | 1325 E Fortification St, Jackson, Mississippi |
| Phone Number | 6013544488 |
| Fax Number | 6019145188 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386632560 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2011-11-17 |
Provider Mailing Address Detail
| Address | 1325 E Fortification St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392022442 |
| Phone Number | 6013544488 |
| Fax Number | 6019145188 |
Provider's Primary Taxonomy Detail
| Speciality | Hand Surgery |
|---|---|
| Taxonomy | 207Xs0106X |
| Licence No | 8332 |
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Definition: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00100821 | MS | MEDICARE RR | |
| 11435 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Chris Phillip Ethridge by the Centers for Medicare & Medicaid Services?
The Chris Phillip Ethridge has been issued the NPI (National Provider Identifier) 1386632560. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Chris Phillip Ethridge's facilities are geographically located?
The facilities of Chris Phillip Ethridge are physically situated at the following location: 1325 E Fortification St, Jackson, MS, 392022442.
What is Chris Phillip Ethridge's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Chris Phillip Ethridge's specialized field of practice is Hand Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Xs0106X.
What is Chris Phillip Ethridge's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chris Phillip Ethridge is Hand Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Xs0106X.
On what date did the Centers for Medicare & Medicaid Services assign the 1386632560 to Chris Phillip Ethridge?
The Centers for Medicare & Medicaid Services assigned the 1386632560 to Chris Phillip Ethridge on 2005-10-11.
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