CHARLES ETHRIDGE

JONESBORO, AR
NPI1275557779
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  C00295)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
-- CHARLES ETHRIDGE CRNA
225 E JACKSON AVE
JONESBORO, AR 72401-3119
Phone number: 870-932-4211
Mailing Address
-- CHARLES ETHRIDGE CRNA
PO BOX 8099
JONESBORO, AR 72403-8099
Phone number: 870-932-4211
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