Organization
CHARLIE H BRIDGES MD, FACS
Active
Organization
CHARLIE H BRIDGES MD, FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE H BRIDGES MD (OWNER)
(225) 767-0394
Entity
Organization
Contact information
Practice address
7777 HENNESSY BLVD STE 608, BATON ROUGE, LA 70808-4366
(225) 767-0394
(225) 767-3904
Mailing address
7777 HENNESSY BLVD STE 608, BATON ROUGE, LA 70808-4366
(225) 767-0394
(225) 767-3904
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
07141R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1370339
—
LA
Enumeration date
05/21/2010
Last updated
06/12/2014
Update your record
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