John Bruce Etheridge in Charleston - Pediatrics
John Bruce Etheridge - NPI 1861586414
John Bruce Etheridge is a Pediatrics in Charleston, South Carolina. John Bruce Etheridge practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for John Bruce Etheridge is 1861586414. The last update date is 2007-07-08.
John Bruce Etheridge's current location address is 2781 Tricom Street, Charleston, South Carolina. You can contact this provider via phone number 8437975600 and fax number 8435724872. The mailing address for John Bruce Etheridge is 2781 Tricom Street, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Bruce Etheridge |
|---|---|
| Address | 2781 Tricom Street, Charleston, South Carolina |
| Phone Number | 8437975600 |
| Fax Number | 8435724872 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861586414 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2781 Tricom Street |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294069170 |
| Phone Number | 8437975600 |
| Fax Number | 8435724872 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 19936 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 199369 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Bruce Etheridge by the Centers for Medicare & Medicaid Services (CMS)?
The John Bruce Etheridge has been assigned the NPI (National Provider Identifier) 1861586414. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John Bruce Etheridge?
The John Bruce Etheridge is situated at 2781 Tricom Street, in the city of Charleston, state of SC, with the zip code 294069170.
What is John Bruce Etheridge's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Bruce Etheridge's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861586414 to John Bruce Etheridge?
The Centers for Medicare & Medicaid Services originally issued the 1861586414 to John Bruce Etheridge on 2006-10-03.
As of what date was the information regarding John Bruce Etheridge, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Bruce Etheridge, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.