Christopher Etheridge

Contractor · Lithonia, GA

Individual Active NPI

NPI number 1164970091

Practice location

3918 Heritage Pointe
Lithonia, GA 30038-4078
Phone
(770) 895-4287

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NPI record

NPI
1164970091
Entity type
Individual (Type 1)
Enumeration date
September 20, 2016
Last updated
September 20, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

About Christopher Etheridge

Christopher Etheridge is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 3918 Heritage Pointe, Lithonia, GA 30038-4078. The NPI number 1164970091 was assigned on September 20, 2016 and the record was last updated on September 20, 2016.

Frequently asked questions

What is the NPI number of Christopher Etheridge?

The NPI number is 1164970091.

What is the phone number of Christopher Etheridge?

The phone number listed for the practice location is (770) 895-4287.

Where is Christopher Etheridge located?

3918 Heritage Pointe, Lithonia, GA 30038-4078.

What is the taxonomy code for Christopher Etheridge?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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