Scott David Ethridge, PA-C
NPI #1326228552 in Charleston, West Virginia
Provider Information
- NPI Number
- 1326228552
- Entity Type
- Individual
- Name
- Scott David Ethridge, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 5, 2007
- Last Updated
- Jan 24, 2017
Practice Location
- Address
- 3100 MACCORKLE AVE SE
- Address 2
- SUITE 806
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25304-1223
- Phone
- (304) 344-9480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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