Individual
CARLY MICHELLE ETHRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2751 WARM SPRINGS RD, COLUMBUS, GA 31904-6858
(705) 786-1110
Mailing address
2751 WARM SPRINGS RD, COLUMBUS, GA 31904-6858
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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