# BRIDGEMILL HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023362191
- **Authorized official:** DR. SCOTT DEPOL DC (MEMBER/MANAGER)
- **Authorized official phone:** (678) 880-6118

## Contact information

- **Practice address:** 3542 SIXES RD, SUITE 100, CANTON, GA 30114-9124
- **Practice address phone:** (678) 880-6118
- **Practice address fax:** (770) 720-1389
- **Mailing address:** 3542 SIXES RD, SUITE 100, CANTON, GA 30114-9124
- **Mailing address phone:** (678) 880-6118
- **Mailing address fax:** (770) 720-1389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHIRO07708 | GA | — |
| 207Q00000X | Family Medicine Physician | 26936 | GA | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 10/29/2012