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1093452930
JAMES ETHREDGE
VIDALIA, GA
NPI
1093452930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-05-12
Last Update Date
2022-05-12
Business Address
JAMES ETHREDGE
401 E 1ST ST STE B
VIDALIA, GA 30474-4624
Phone number: 912-403-3300
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Mailing Address
JAMES ETHREDGE
118 AZALEA RD STE 11
BAXLEY, GA 31513-9197
Phone number: 912-705-2855
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