Organization
BRIDGEMILL HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DEPOL DC (MEMBER/MANAGER)
(678) 880-6118
Entity
Organization
Contact information
Practice address
3542 SIXES RD, SUITE 100, CANTON, GA 30114-9124
(678) 880-6118
(770) 720-1389
Mailing address
3542 SIXES RD, SUITE 100, CANTON, GA 30114-9124
(678) 880-6118
(770) 720-1389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIRO07708
GA
207Q00000X
Family Medicine Physician
Primary
26936
GA
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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