Tricia L Etheridge in Ridgeland - General Practice
Tricia L Etheridge - NPI 1366531162
Tricia L Etheridge is a General Practice in Ridgeland, South Carolina. Tricia L Etheridge practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tricia L Etheridge is 1366531162. The last update date is 2015-12-14.
Tricia L Etheridge's current location address is 109 S Green St, Ridgeland, South Carolina. You can contact this provider via phone number 8437266773 and fax number 8437266778. The mailing address for Tricia L Etheridge is 109 S Green St, Ridgeland, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tricia L Etheridge |
|---|---|
| Address | 109 S Green St, Ridgeland, South Carolina |
| Phone Number | 8437266773 |
| Fax Number | 8437266778 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1366531162 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
| Address | 109 S Green St |
|---|---|
| City | Ridgeland |
| State | South Carolina (SC) |
| Post Code | 299369165 |
| Phone Number | 8437266773 |
| Fax Number | 8437266778 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 19547 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 320114664 | SC | BLUE CROSS BLUE SHIELD | |
| 42D1028556 | SC | CLIA | |
| DC4084 | SC | RAIL ROAD MEDICARE | |
| 320114664 | SC | TAX ID | |
| 19547 | SC | LICENSE # | |
| L25587 | SC | -- |
Post Comment/ Review Below
What is the Tricia L Etheridge's 1366531162?
The Tricia L Etheridge's NPI (National Provider Identifier) Number is 1366531162. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tricia L Etheridge's facilities are situated?
The facilities of Tricia L Etheridge are physically located at the following address: 109 S Green St, Ridgeland, SC, 299369165.
What is Tricia L Etheridge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tricia L Etheridge is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did Tricia L Etheridge receive its 1366531162 assignment from the Centers for Medicare & Medicaid Services?
The Tricia L Etheridge was assigned its 1366531162 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tricia L Etheridge most recently updated?
The details pertaining to the Tricia L Etheridge, including its address, specialty, and other relevant information, were last refreshed on 2015-12-14.