| Tricia Etheridge, MD, PC | |
|
109 S Green St Ridgeland SC 29936-9165 | |
| (843) 726-6773 | |
| (843) 726-6778 |
| Full Name | Tricia Etheridge, MD, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 109 S Green St, Ridgeland, South Carolina |
| Authorized Official Name and Position | Tina Marie Murdaugh (OFFICE MANAGER) |
| Authorized Official Contact | 8437266773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia Etheridge, MD, PC Po Box 999 Ridgeland SC 29936-2616 Ph: (843) 726-6773 | Tricia Etheridge, MD, PC 109 S Green St Ridgeland SC 29936-9165 Ph: (843) 726-6773 |
| NPI Number | 1578620480 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578620480 | NPI | - | NPPES |
| GP3946 | Medicaid | SC | |
| 50017139 | Other | SC | TAT |
| 42D1028556 | Other | SC | CLIA |
| L25587 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19547 (South Carolina) | Primary |
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