John Bruce Etheridge
MD | Pediatrics | Male
John Bruce Etheridge, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Bruce Etheridge is
2781 Tricom Street, Charleston, South Carolina - 29406-9170. He can be contacted on phone at
843-797-5600 and fax number 843-572-4872.
John Bruce Etheridge is a sole proprietor of his business.
NPI number (Unique professional ID) for John Bruce Etheridge is
1861586414 which was assigned by NPPES on 03 Oct, 2006 and it was last updated on 08 Jul, 2007.
John Bruce Etheridge license number is
19936 for Pediatrics (208000000X) in South Carolina.
John Bruce Etheridge is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Bruce Etheridge basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Bruce Etheridge |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
John Bruce Etheridge address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2781 Tricom Street
Charleston, SC, 29406-9170
United States |
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| Phone Number : | 843-797-5600 |
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| Fax Number : | 843-572-4872 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861586414 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Bruce Etheridge are as mentioned. Primary taxonomy code for John Bruce Etheridge, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 19936 | SC |
Legacy Identifiers:
Other legacy medical identifiers of John Bruce Etheridge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 199369 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2781 Tricom Street
Charleston, SC, 29406-9170
United States |
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| Phone Number : | 843-797-5600 |
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| Fax Number : | 843-572-4872 |
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Business Location:
Patients can refer following map for directions to
John Bruce Etheridge practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.