Individual
KATHLEEN ROSE DUNHAM BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 R T STANLEY SR PLACE, LYONS, GA 30436
(912) 526-9355
(912) 526-8622
Mailing address
110 RT STANLEY SENIOR PL, LYONS, GA 30436
(912) 537-4986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN076524
GA
363LF0000X
Family Nurse Practitioner
RN076524
GA
Other
Enumeration date
01/18/2007
Last updated
04/05/2021
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