Ethredge, James

Ethredge, James is an individual health care provider with primary practice located at 401 E 1St St Ste B , Vidalia GA 30474-4624. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ethredge, James can be contacted via phone (912) 403-3300.

Contact Information

Primary practice address
401 E 1St St Ste B Vidalia GA 30474-4624
Phone: (912) 403-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1093452930
LBN Legal business name Ethredge, James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated May 12th, 2022 - about 3 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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