Individual
DR. JAMES KEVIN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 EBENEZER BLVD STE A, MADISON, MS 39110-6005
(769) 200-1600
(769) 200-1571
Mailing address
920 EBENEZER BLVD STE A, MADISON, MS 39110-6005
(769) 200-1600
(769) 200-1571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21323
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06407535
—
MS
Enumeration date
07/08/2009
Last updated
05/26/2021
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