CALEB ELISHA ETHERIDGE

ROME, GA
NPI1225670532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9480)
Enumeration Date2019-10-09
Last Update Date2020-05-08
Business Address
CALEB ELISHA ETHERIDGE PA-C
1825 MARTHA BERRY BLVD NW
ROME, GA 30165-1625
Phone number: 762-235-2700
Mailing Address
CALEB ELISHA ETHERIDGE PA-C
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 762-235-1000
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