DR. Jesse C Ethridge, MD

NPI #1043263841 in Jackson, Mississippi

Provider Information

NPI Number: 1043263841
Entity Type: Individual
Name: DR. Jesse C Ethridge, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology
Credential: MD
Enumeration Date: May 19, 2006
Last Updated: Nov 19, 2011

Practice Location

Address: 501 MARSHALL STREET
Address 2: SUITE 400
City: Jackson
State: Mississippi
ZIP Code: 39202-1687
Phone: (601) 354-0869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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