SHANNON SLOCUMB ETHRIDGE

MACON, GA
NPI1033527254
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN198355)
Enumeration Date2014-07-31
Last Update Date2021-12-07
Business Address
Mrs. SHANNON SLOCUMB ETHRIDGE FNP-C
3448 VINEVILLE AVE BLDG B
MACON, GA 31204-1867
Phone number: 478-405-0045
Mailing Address
Mrs. SHANNON SLOCUMB ETHRIDGE FNP-C
3448 VINEVILLE AVE BLDG B
MACON, GA 31204-1867
Phone number: