# VITAL BRIDGES MEDICAL CONCIERGE AND AESTHETICS, LLC

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

## Provider details

- **NPI number:** 1942135678
- **Authorized official:** MRS. D'NEKA BRIDGES PA (PHYSICIAN ASSOCIATE)
- **Authorized official phone:** (404) 276-5919

## Contact information

- **Practice address:** 2375 WALL STREET SE, SUITE 240, ROOM 95, CONYERS, GA 30013
- **Practice address phone:** (770) 372-9831
- **Mailing address:** 2375 WALL STREET SE, SUITE 240, RM 95, CONYERS, GA 30013-2296
- **Mailing address phone:** (770) 372-9831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 06/15/2026
- **Last updated:** 06/15/2026
