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Organization

BRIDGES OF WILMINGTON

Active
Other names
BRIDGES
Organization subpart
No

Provider details

NPI number
Authorized official
VONI M GOODSON-SIMPSON (OWNER)
(910) 762-1733
Entity
Organization

Contact information

Practice address
202 S 5TH AVE UNIT C-4, WILMINGTON, NC 28401-5494
(910) 762-1733
(910) 762-1766
Mailing address
202 S 5TH AVE UNIT C-4, WILMINGTON, NC 28401-5494
(910) 685-1233
(910) 762-1766

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083876049
NC
Enumeration date
02/07/2024
Last updated
03/30/2024
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