MRS. Shannon Slocumb Ethridge, FNP-C is a family nurse practitioner in Macon, GA with 10 years of experience. MRS. Shannon Slocumb Ethridge, FNP-C NPI is 1033527254. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3448 VINEVILLE AVE BLDG B
MACON, GA
ZIP 31204-867
Phone: (478) 405-0045
The NPI 1033527254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/31/2014 and was last updated on 12/7/2021.