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Organization
BRIDGEMAN BROTHERS MEDIQUIP
Active
Organization
BRIDGEMAN BROTHERS MEDIQUIP
Active
Other names
Bridgeman Mediquip
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER EARL BRIDGEMAN ATS CRTS (OWNER)
(478) 742-0022
Entity
Organization
Contact information
Practice address
109 HWY 49, SUITE 5, MACON, GA 31211-7853
(478) 742-0022
(478) 742-0211
Mailing address
PO BOX 4383, MACON, GA 31208-4383
(478) 742-0022
(478) 742-0211
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
20012618227
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000977534A
—
GA
Enumeration date
10/30/2006
Last updated
05/22/2008
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