Individual
JAMES ETHREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E 1ST ST STE B, VIDALIA, GA 30474-4624
(912) 403-3300
Mailing address
118 AZALEA RD STE 11, BAXLEY, GA 31513-9197
(912) 705-2855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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