Caleb Elisha Etheridge, PA-C

Physician Assistant · Rome, GA

Individual Active NPI

NPI number 1225670532

Practice location

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone
(762) 235-2700
Fax
(706) 236-6437

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NPI record

NPI
1225670532
Entity type
Individual (Type 1)
Enumeration date
October 9, 2019
Last updated
May 8, 2020
Certified
May 8, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 9480 GA

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone
(762) 235-1000

About Caleb Etheridge

Caleb Elisha Etheridge, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1825 Martha Berry Blvd NW, Rome, GA 30165-1625. The NPI number 1225670532 was assigned on October 9, 2019 and the record was last updated on May 8, 2020.

Caleb Etheridge lists a license in the registry: #9480 (GA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Elisha Etheridge, PA-C?

The NPI number is 1225670532.

What is the phone number of Caleb Etheridge?

The phone number listed for the practice location is (762) 235-2700.

Where is Caleb Etheridge located?

1825 Martha Berry Blvd NW, Rome, GA 30165-1625.

What is the taxonomy code for Caleb Etheridge?

The primary taxonomy code is 363A00000X – Physician Assistant.

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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