CHARLES L ETHERIDGE

NORFOLK, VA
NPI1790704898
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: VA  101043332)
Enumeration Date2006-07-19
Last Update Date2007-11-28
Business Address
CHARLES L ETHERIDGE MD
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 757-668-3871
Mailing Address
CHARLES L ETHERIDGE MD
134 BUSINESS PARK DR
VIRGINIA BEACH, VA 23462-6523
Phone number: 757-473-0055
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