Individual
BRIDGETTE WRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1108 W BAY ST, QUITMAN, GA 31643-2502
(229) 379-6216
Mailing address
1108 W BAY ST, QUITMAN, GA 31643-2502
(229) 379-6216
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17001629
GA
Other
Enumeration date
09/20/2016
Last updated
08/14/2023
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