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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SCOTT DAVID ETHRIDGE, PA-C

Active

SCOTT DAVID ETHRIDGE, PA-C is a Medical Physician Assistant healthcare provider located in CHARLESTON, West Virginia. NPI 1326228552 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · CHARLESTON, WV

Registration Details

NPI Number
1326228552
Provider Type
Individual
Gender
Male
NPI Issued
Nov 5, 2007 (18.589026593335 yrs)
Last Updated
Jan 24, 2017
License
01317 (WV)

Practice Information

Address
3100 MACCORKLE AVE SE
SUITE 806
CHARLESTON, WV, 253041223
Browse WV providers · Browse ZIP 25304
Phone
3043449480
Fax
3043449481
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in CHARLESTON, WV

Name Credential NPI
MRS. KARA DARLENE CARPENTER PA C 1245228501
RYAN W ANDERSON PA-C 1407847833
SANDRA FAYE STENNETT PAC 1023084183
SIDNEY ALAN HUMPHREY PA-C 1659349405
MR. GREG MCCARTNEY PA 1710945498
MR. MOHAMMAD YOUSAF PAC 1801844303
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.