| Doctor Name: | MS. ANNA H ETHRIDGE |
| NPI Number: | 1033559653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | RN173744 |
| Business Practice Address: | 821 N Cobb St Milledgeville, GA - 310612343 |
| Business Phone Number: | 4784543969 |
| Business Fax Number: | |
| Mailing Address: | 233 Meriwether Rd Nw # Nw1, MILLEDGEVILLE |
| State: | GA |
| Postal Code: | 310618085 |
| Phone Number: | 4789680198 |
| Fax Number: | |
| NPI Enumeration Date: | 06/27/2013 |
| NPI Last Update Date: | 06/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN173744 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |