Individual
KRISTA BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 SAULS ST STE E, LAKE CITY, SC 29560-2677
(843) 674-2102
Mailing address
420 SHREK WAY, FLORENCE, SC 29505-5273
(843) 674-2102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31036
SC
Other
Enumeration date
09/26/2025
Last updated
10/02/2025
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