Individual
BRIDGETT HEATHER SEAGROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1822 MONTEREY RD, ABBEVILLE, SC 29620-4659
(615) 335-4666
(864) 330-1864
Mailing address
PO BOX 49547, GREENWOOD, SC 29649-0010
(156) 335-4666
(864) 330-1864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36734
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
367347
—
SC
Enumeration date
06/22/2011
Last updated
09/07/2020
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