Individual
DR. SUSAN T. BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1126 MEDICAL CENTER DR, AUGUSTA, GA 30909-1810
(706) 863-5082
(706) 863-4082
Mailing address
1126 MEDICAL CENTER DR, AUGUSTA, GA 30909-1810
(706) 863-5082
(706) 863-4082
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44624
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00884661A
—
GA
01
—
16BDTNF
MEDICARE ID
GA
Enumeration date
11/23/2005
Last updated
08/15/2011
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