Dr CHARLES L ETHERIDGE is a male medical professional, specializing in Anesthesiology. He graduated in 1985 from University Of Virginia School Of Medicine.
CONSULTANTS IN PAIN MANAGEMENT, INC
600 GRESHAM DR
NORFOLK
VA
235071904
Tel: 7574730055
| Npi | 1790704898 |
| Pac Id | 5294868600 |
| Professional Enrollment Id | I20100805000918 |
| Last Name | ETHERIDGE |
| First Name | CHARLES |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CONSULTANTS IN PAIN MANAGEMENT, INC |
| Group Practice Pac Id | 1951325950 |
| Number Of Group Practice Members | 41 |
| Line 1 Street Address | 600 GRESHAM DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NORFOLK |
| State | VA |
| Zip Code | 235071904 |
| Phone Number | 7574730055 |
| Hospital Affiliation Ccn 1 | 490007 |
| Hospital Affiliation Lbn 1 | SENTARA NORFOLK GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 490046 |
| Hospital Affiliation Lbn 2 | SENTARA LEIGH HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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