Scott David Ethridge in South Charleston - Medical
Scott David Ethridge - NPI 1326228552
Scott David Ethridge is a Medical in South Charleston, . Scott David Ethridge practices all healthcare services and medical treatments related to Medical. The NPI Number for Scott David Ethridge is 1326228552. The last update date is 2017-01-24.
Scott David Ethridge's current location address is 4619 Kanawha Ave Sw, South Charleston, . You can contact this provider via phone number 3044004545 and fax number 3044004546. The mailing address for Scott David Ethridge is 4619 Kanawha Ave Sw, South Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott David Ethridge |
|---|---|
| Address | 4619 Kanawha Ave Sw, South Charleston, |
| Phone Number | 3044004545 |
| Fax Number | 3044004546 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1326228552 |
|---|---|
| Provider Enumeration Date | 2007-11-05 |
| Last Updated Date | 2017-01-24 |
Provider Mailing Address Detail
| Address | 4619 Kanawha Ave Sw |
|---|---|
| City | South Charleston |
| State | (WV) |
| Post Code | 253091319 |
| Phone Number | 3044004545 |
| Fax Number | 3044004546 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1317 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Scott David Ethridge's 1326228552?
The Scott David Ethridge's NPI (National Provider Identifier) Number is 1326228552. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Scott David Ethridge is physically located?
The Scott David Ethridge is situated at the following address: 4619 Kanawha Ave Sw, South Charleston, WV 253091319.
What is Scott David 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 Scott David Ethridge is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
When did Scott David Ethridge receive its 1326228552 assignment?
The Scott David Ethridge was assigned its 1326228552 on 2007-11-05, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Scott David Ethridge, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Scott David Ethridge, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-01-24.
NPI Number: 1376546309
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