Tricia L Etheridge is a General Practice Physician based in Ridgeland, SC. Tricia L Etheridge practices in Ridgeland, SC and has the professional credentials of MD. The NPI Number for Tricia L Etheridge is 1366531162 and holds a License No. 19547 (South Carolina).
The current practice location address for Tricia L Etheridge is 109 S Green St, Ridgeland, SC and can be reached out via phone at 843-726-6773 and via fax at 843-726-6778.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320114664 | 01 | SC | BLUE CROSS BLUE SHIELD |
| 42D1028556 | 01 | SC | CLIA |
| DC4084 | 01 | SC | RAIL ROAD MEDICARE |
| 320114664 | 01 | SC | TAX ID |
| 19547 | 01 | SC | LICENSE # |
| L25587 | 05 | SC |
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