person
Scott David Ethridge, PA-C
Medical Physician Assistant in Charleston, West Virginia
NPI 1326228552

Scott David Ethridge is a Medical Physician Assistant based in South Charleston, WV and is specialized in Medical. Scott David Ethridge practices in Charleston, WV and has the professional credentials of PA-C. The NPI Number for Scott David Ethridge is 1326228552 and holds a License No. 01317 (West Virginia).

The current practice location address for Scott David Ethridge is 3100 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-344-9480 and via fax at 304-344-9481. You can also correspond with Scott David Ethridge through the mailing address at 4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV - 25309-1319 (mailing address contact number: 304-400-4545).

Location: 3100 Maccorkle Ave Se, Charleston, WV, 25309-1319
person
Provider Profile Details
NPI Number
1326228552
Provider Name
Scott David Ethridge
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3100 Maccorkle Ave Se, Charleston, WV, 25309-1319
Phone Number
304-344-9480
Fax Number
304-344-9481
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3100 Maccorkle Ave Se
City
State
Zip
25304-1223
Phone Number
304-344-9480
Fax Number
304-344-9481
person
Provider Business Mailing Address Details
Address
3100 Maccorkle Ave Se
City
State
Zip
25304-1223
Phone Number
304-344-9480
Fax Number
304-344-9481
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01317 (West Virginia)
Definition
Definition to come...
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