Organization
BRIDGES PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J BALOG MD (DIRECTOR)
(803) 339-1563
Entity
Organization
Contact information
Practice address
115 FAIRCHILD ST STE 170, DANIEL ISLAND, SC 29492-7602
(803) 339-1563
(803) 746-7902
Mailing address
115 FAIRCHILD ST STE 170, DANIEL ISLAND, SC 29492-7602
(803) 339-1563
(803) 746-7902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
05/05/2022
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