JERRY ETHRIDGE

LAWRENCEVILLE, GA
NPI1851259105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN188111)
Enumeration Date2026-01-14
Last Update Date2026-01-14
Business Address
Mr. JERRY ETHRIDGE
820 ASHLEY LAINE WALK
LAWRENCEVILLE, GA 30043-4286
Phone number: 229-392-3459
Mailing Address
Mr. JERRY ETHRIDGE
820 ASHLEY LAINE WALK
LAWRENCEVILLE, GA 30043-4286
Phone number: 229-392-3459