ANDREW JACKSON ETHERIDGE IV CCA, CFO, CFM, CPED
NPI 1487246369
Anaplastologist in Baltimore, MD
About Andrew Jackson Etheridge Iv Cca, Cfo, Cfm, Cped NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW JACKSON ETHERIDGE IV CCA, CFO, CFM, CPED (NPI 1487246369) is an individual anaplastologist provider in Baltimore, Maryland and active in the NPI registry since February 2021. He maintains a secondary practice location in Durham.
NPPES Registry Identity
Specialties & Licenses 5
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).
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487246369, enumerated as an "individual" on February 11, 2021.
The provider is located at 601 N CAROLINE ST FL 6 BALTIMORE, MD 21287 and the phone number is (410) 955-8215.
Anaplastologist with taxonomy code 229N00000X.
