Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT NOYES ETHERIDGE, M.D.
Active Sole ProprietorDR. ROBERT NOYES ETHERIDGE, M.D. is a Family Medicine healthcare provider located in PINEWOOD, South Carolina. NPI 1588007603 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PINEWOOD, SC
Registration Details
- NPI Number
- 1588007603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2013 (13.207069552476 yrs)
- Last Updated
- Oct 4, 2018
- License
-
40082 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 E CLARK STPINEWOOD, SC, 291258989Browse SC providers · Browse ZIP 29125
- Phone
- 8037744500
- Fax
- 8034525712
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in PINEWOOD, SC
| Name | Credential | NPI |
|---|---|---|
| DR. DONNA GRIMSLEY MIZELLE | MD | 1760427678 |
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.