Individual
BRIDGETTE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9396 FAIRFIELD PKWY, JONESBORO, GA 30236-7408
(770) 299-4625
Mailing address
9396 FAIRFIELD PKWY, JONESBORO, GA 30236-7408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN081854
GA
Other
Enumeration date
03/30/2020
Last updated
06/19/2020
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