Individual
JUSTIN BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
749 PANTEGO BLVD SE, BOLIVIA, NC 28422-8397
(910) 409-3608
Mailing address
749 PANTEGO BLVD SE, BOLIVIA, NC 28422-8397
(910) 409-3608
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P060688
NC
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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