John B. Etheridge, MD
Pediatrics · Port Royal, SC
UnclaimedMDNPI 1861586414
- Primary taxonomy
- 208000000X
- Enumerated
- 2006-10-03
- Practice location
- Port Royal, SC
- Last NPPES update
- 2026-06-16
State licenses
- SC · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.