Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James Ethredge

Individual provider Physical Therapist · NPI 1093452930

James Ethredge is a Physical Therapist in Vidalia, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

401 E 1st St Ste B
Vidalia, GA 30474-4624
Phone: (912) 403-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1093452930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 12, 2022
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022
Mailing address118 Azalea Rd Ste 11, Baxley, GA 31513-9197

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