Individual
BRIDGETTE REDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
460 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 438-8300
Mailing address
460 CLEMSON RD, COLUMBIA, SC 29229-7925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
219728
SC
363LF0000X
Family Nurse Practitioner
Primary
24186
SC
Other
Enumeration date
08/12/2020
Last updated
01/14/2021
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