Individual
TRACY ALAN BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 SPANISH CRT, ALBANY, GA 31707
(229) 438-7100
(229) 438-9382
Mailing address
105 SPANISH CT, ALBANY, GA 31707-1282
(229) 438-7100
(229) 438-9382
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
038186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000635203E
—
GA
01
—
1093997447
NPI GROUP
GA
Enumeration date
09/14/2006
Last updated
06/28/2010
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