Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW JACKSON ETHERIDGE IV, CCA, CFO, CFM, CPED
Active229N00000X · BALTIMORE, MD
Registration Details
- NPI Number
- 1487246369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2021 (5.1927100023165 yrs)
- Last Updated
- Aug 30, 2022
Practice Information
- Address
-
601 N CAROLINE ST FL 6BALTIMORE, MD, 212870006Browse MD providers · Browse ZIP 21287
- Phone
- 4109558215
- Fax
- 4109551085
- Primary Specialty
-
229N00000X
229N00000X
- Additional Specialty
- 224900000X
- Additional Specialty
- 224L00000X
- Additional Specialty
- Physical Therapist
- Additional Specialty
- 229N00000X
Other 229N00000X Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| MR. JUAN R GARCIA JR. | CCA | 1003840166 |
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.