| John Bruce Etheridge, MD | |
|
1320 Ribaut Rd, Port Royal, SC 29935-1118 | |
| (843) 986-0900 | |
| Not Available |
| Full Name | John Bruce Etheridge |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1320 Ribaut Rd, Port Royal, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861586414 | NPI | - | NPPES |
| 199369 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 19936 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John Bruce Etheridge, MD 721 Okatie Hwy, Okatie, SC 29909-3963 Ph: (843) 987-7400 | John Bruce Etheridge, MD 1320 Ribaut Rd, Port Royal, SC 29935-1118 Ph: (843) 986-0900 |
Faith Lawrence Polkey, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 1320 Ribaut Rd, Port Royal, SC 29935 Phone: 843-986-0900 Fax: 843-322-1875 | |
Dr. Ugochi Cantave, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1875 N Paris Ave, Port Royal, SC 29935 Phone: 843-522-3870 Fax: 843-522-0691 | |
Marlo Monique Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1320 Ribaut Rd, Port Royal, SC 29935 Phone: 843-986-0900 Fax: 843-322-1875 |