| Emily Steely Etheridge, | |
|
105 Fire Station Rd, Baileyton, AL 35019-9609 | |
| (256) 735-4057 | |
| Not Available |
| Full Name | Emily Steely Etheridge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 105 Fire Station Rd, Baileyton, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770258287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-148400 (Alabama) | Primary |
| Entity Name | Daily Medical, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164996757 PECOS PAC ID: 1456691351 Enrollment ID: O20190312002181 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Steely Etheridge, 108 Hedge Ln, Huntsville, AL 35811-9465 Ph: () - | Emily Steely Etheridge, 105 Fire Station Rd, Baileyton, AL 35019-9609 Ph: (256) 735-4057 |
Charles Lee Gray Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 | |
Buffy Gray, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 | |
Kimberly Knowlton Seymore, AGPC-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 Fax: 256-229-4816 | |
Kindra Edwards, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 Fax: 256-735-4229 |