Individual
LADONNA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 MERCER JCT, MACON, GA 31210-4016
(478) 471-8593
(478) 471-8599
Mailing address
306 AUTUMN WOODS DR, WARNER ROBINS, GA 31088-6762
(478) 987-6810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN085282
GA
363LF0000X
Family Nurse Practitioner
Primary
RN085282
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006362189A
—
GA
Enumeration date
05/19/2006
Last updated
02/18/2009
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