Individual
MS. ANNA H ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 454-3969
Mailing address
233 MERIWETHER RD NW # NW1, MILLEDGEVILLE, GA 31061-8085
(478) 968-0198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN173744
GA
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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