Search › Mississippi › 111NN0400X
Leslie Ethridge, D.C
NPI 1598197584 · on the registry since 2013 · sole proprietor
Practice
- Address
- 124 Ford Ave
Newton, MS 39345 - Phone
- (601) 527-9707
Registry record
- Primary taxonomy
- 111NN0400X
111NN0400X
- Also registered as
- 111N00000X
111NN1001X
111NP0017X
111NR0200X
111NR0400X
111NS0005X
111NT0100X
111NX0100X
111NX0800X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi