Individual
DR. ROBERT NOYES ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 E CLARK ST, PINEWOOD, SC 29125-8989
(803) 774-4500
(803) 452-5712
Mailing address
25 E CLARK ST, PINEWOOD, SC 29125-8989
(803) 774-4500
(803) 452-5712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40082
SC
Other
Enumeration date
04/08/2013
Last updated
10/04/2018
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