Whalio Doctors

NPI 1043274707

Jon Lloyd Etheridge, DC

Practitioner Chiropractor Summerville, SC

Practice location

Address
1711 N Main St, Summerville, SC 29483-7807
Phone
(843) 875-2268
Fax
(843) 875-2267

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 1243 (SC)

Registry record

NPI
1043274707
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Apr 2006
Record last updated
2 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.