Individual
MRS. BRIDGET JAKIA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E WOOD ST, SPARTANBURG, SC 29303-3016
(864) 596-2227
Mailing address
1600 BETHPAGE DR APT 23, SPARTANBURG, SC 29301-3342
(803) 236-2068
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
235423
SC
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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