Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN SEAN ETHERIDGE
Active Sole ProprietorMARTIN SEAN ETHERIDGE is a Community/Behavioral Health healthcare provider located in PAGELAND, South Carolina. NPI 1962705863 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · PAGELAND, SC
Registration Details
- NPI Number
- 1962705863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 15, 2010 (15.655926270112 yrs)
- Last Updated
- Mar 21, 2025
- Licenses
-
6059 (SC)6059 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 W MCGREGOR STPAGELAND, SC, 297282137Browse SC providers · Browse ZIP 29728
- Phone
- 8436727096
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
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.