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1326228552
SCOTT DAVID ETHRIDGE
CHARLESTON, WV
NPI
1326228552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WV 01317)
Enumeration Date
2007-11-05
Last Update Date
2017-01-24
Business Address
-- SCOTT DAVID ETHRIDGE PA-C
3100 MACCORKLE AVE SE SUITE 806
CHARLESTON, WV 25304-1223
Phone number: 304-344-9480
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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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