NPI
Tory Kirsten Etheridge
NPI 1649771155
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- NP
- Type
- Individual
- Enumeration date
- 2018-02-21
- Last updated
- 2024-10-09
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Specialties
Licenses
- License GA
- 2017026648
Location
- Practice location
- 4120 Gray Hwy
- City
- Gray GA
- Postal code
- 31032-6156
- Phone
- (478) 320-2298
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Nurse Practitioners in Gray, GA. 6 with this primary taxonomy in the public file.
Other NPIs in Gray, GA. 147 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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