Emily Steely Etheridge, | |
105 Fire Station Rd, Baileyton, AL 35019-9609 | |
(256) 735-4057 | |
Not Available |
Full Name | Emily Steely Etheridge |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 105 Fire Station Rd, Baileyton, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770258287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1-148400 (Alabama) | Primary |
Entity Name | Daily Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164996757 PECOS PAC ID: 1456691351 Enrollment ID: O20190312002181 |
Mailing Address | Practice Location Address |
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Emily Steely Etheridge, 108 Hedge Ln, Huntsville, AL 35811-9465 Ph: () - | Emily Steely Etheridge, 105 Fire Station Rd, Baileyton, AL 35019-9609 Ph: (256) 735-4057 |
Charles Lee Gray Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 | |
Buffy Gray, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 | |
Kindra Edwards, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Fire Station Rd, Baileyton, AL 35019 Phone: 256-735-4057 Fax: 256-735-4229 |