Lisa Fanning Etheridge is a Family Nurse Practitioner based in Barnwell, SC and is specialized in Family. Lisa Fanning Etheridge practices in Orangeburg, SC and has the professional credentials of FNP/APRN. The NPI Number for Lisa Fanning Etheridge is 1245784669 and holds a License No. 20081 (South Carolina).
The current practice location address for Lisa Fanning Etheridge is 1175 Cook Rd Ste 320, Orangeburg, SC and can be reached out via phone at 803-395-3960. You can also correspond with Lisa Fanning Etheridge through the mailing address at 914 REYNOLDS RD, BARNWELL, SC - 29812 (mailing address contact number: 803-259-5311).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7389 | 01 | MEDICARE GROUP PTAN |
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