NPI 1861586414

John Bruce Etheridge, MD

Practitioner Pediatrics Physician Port Royal, SC

Practice location

Address: 1320 Ribaut Rd, Port Royal, SC 29935-1118
Phone: (843) 986-0900
Mailing address: 721 Okatie Hwy, Okatie, SC 29909-3963

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 19936 (SC)

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1861586414
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 16 Jun 2026

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.