Individual
DR. JOEL L BRIDGEWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 E 6TH ST STE D, MUSCLE SHOALS, AL 35661-3957
(256) 397-8842
Mailing address
1110 E 6TH ST STE D, MUSCLE SHOALS, AL 35661-3957
(256) 397-8842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LL27993
SC
207P00000X
Emergency Medicine Physician
Primary
MD.32800
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I935745
MEDICARE
AL
05
—
156039
—
AL
05
—
P01309083
—
MS
Enumeration date
10/11/2006
Last updated
04/07/2021
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