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Mrs. Shannon Slocumb Ethridge, FNP-C
Family Nurse Practitioner in Macon, Georgia
NPI 1033527254

Shannon Slocumb Ethridge is a Family Nurse Practitioner based in Macon, GA and is specialized in Family. Shannon Slocumb Ethridge practices in Macon, GA and has the professional credentials of FNP-C. The NPI Number for Shannon Slocumb Ethridge is 1033527254 and holds a License No. RN198355 (Georgia).

The current practice location address for Shannon Slocumb Ethridge is 3448 Vineville Ave Bldg B, Macon, GA and can be reached out via phone at 478-405-0045.

Location: 3448 Vineville Ave Bldg B, Macon, GA, 31204-1867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033527254
Provider Name
Shannon Slocumb Ethridge
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
3448 Vineville Ave Bldg B, Macon, GA, 31204-1867
Phone Number
478-405-0045
Fax Number
Provider Enumeration Date
07/31/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3448 Vineville Ave Bldg B
City
Macon
State
Georgia
Zip
31204-1867
Phone Number
478-405-0045
Fax Number
person
Provider Business Mailing Address Details
Address
3448 Vineville Ave Bldg B
City
Macon
State
Georgia
Zip
31204-1867
Phone Number
478-405-0045
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN198355 (Georgia)
Definition
Definition to come...
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