Individual
KENDRA NICHELLE ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
5102 PAULSEN ST, SAVANNAH, GA 31405-4601
(912) 758-3438
Mailing address
566 PATTON RD, GRIFFIN, GA 30224-7391
(770) 584-9424
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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