Etheridge, Anthony Wayne

Etheridge, Anthony Wayne is an individual health care provider with primary practice located at 122 N Brickyard Rd , Columbia SC 29223-6902. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Etheridge, Anthony Wayne can be contacted via phone (803) 378-0142.

Contact Information

Primary practice address
122 N Brickyard Rd Columbia SC 29223-6902
Phone: (803) 378-0142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 4370 South Carolina

Profile Details

NPI number 1538758321
LBN Legal business name Etheridge, Anthony Wayne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2021
Last updated Jan 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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