Search › Mississippi › 207QS0010X
Samantha Glenn Etheredge
NPI 1386221844 · on the registry since 2021
Practice
- Address
- 3101 Denny Ave Ste 240
Pascagoula, MS 39581 - Phone
- (228) 872-1951
- Fax
- (228) 875-9998
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 207QS0010X
207QS0010X
- Also registered as
- 207QS0010X
- Licence states on file
- MS, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi