Individual provider · Type 1 NPI

John Bruce Etheridge, MD

Pediatrics Physician · Port Royal, SC

NPI number 1861586414 Active

Practice location

1320 Ribaut Rd
Port Royal, SC 29935-1118

Mailing address

721 Okatie Hwy
Okatie, SC 29909-3963

Other practice locations

  • 2781 Tricom Street, Charleston, SC 29406-9170 · (843) 797-5600

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X19936 (SC)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

12 other providers at this address

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About NPI 1861586414

John Bruce Etheridge, MD's National Provider Identifier is 1861586414, issued on Oct 3, 2006. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Port Royal, SC. The record was last updated on Jun 16, 2026.