Individual
DR. LUTHER ETHERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
817 PRINCETON AVE SW STE 210, BIRMINGHAM, AL 35211-1348
(205) 783-3505
(205) 783-3508
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35202-1407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3087
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
07/16/2024
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