Tricia Etheridge, Md, Pc | |
109 S Green St Ridgeland SC 29936-9165 | |
(843) 726-6773 | |
(843) 726-6778 |
Full Name | Tricia Etheridge, Md, Pc |
---|---|
Speciality | Family Medicine |
Location | 109 S Green St, Ridgeland, South Carolina |
Authorized Official Name and Position | Tina Marie Murdaugh (OFFICE MANAGER) |
Authorized Official Contact | 8437266773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tricia Etheridge, Md, Pc Po Box 999 Ridgeland SC 29936-2616 Ph: (843) 726-6773 | Tricia Etheridge, Md, Pc 109 S Green St Ridgeland SC 29936-9165 Ph: (843) 726-6773 |
NPI Number | 1578620480 |
---|---|
Provider Enumeration Date | 01/02/2007 |
Last Update Date | 03/07/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578620480 | NPI | - | NPPES |
GP3946 | Medicaid | SC | |
50017139 | Other | SC | TAT |
42D1028556 | Other | SC | CLIA |
L25587 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19547 (South Carolina) | Primary |
Bennett Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10876a N Jacob Smart Blvd, Ridgeland, SC 29936 Phone: 843-694-7728 | |
Altea Medical South Carolina Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 Grays Hwy, Ridgeland, SC 29936 Phone: 843-726-5581 |