Andrew Jackson Etheridge, CCA, CFO, CFM, CPED is an anaplastologist in Baltimore, MD. The provider is an anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA). Andrew Jackson Etheridge, CCA, CFO, CFM, CPED NPI is 1487246369. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
601 N CAROLINE ST FL 6
BALTIMORE, MD
ZIP 21287-006
Phone: (410) 955-8215
Fax: (410) 955-1085
The enumeration date for this NPI number is 2/11/2021 and was last updated on 8/30/2022.