SCOTT DAVID ETHRIDGE

CHARLESTON, WV
NPI1326228552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WV  01317)
Enumeration Date2007-11-05
Last Update Date2017-01-24
Business Address
-- SCOTT DAVID ETHRIDGE PA-C
3100 MACCORKLE AVE SE SUITE 806
CHARLESTON, WV 25304-1223
Phone number: 304-344-9480
Mailing Address
-- SCOTT DAVID ETHRIDGE PA-C
4619 KANAWHA AVE SW SUITE 806
SOUTH CHARLESTON, WV 25309-1319
Phone number: 304-400-4545
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