Organization
BRIDGES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEVIN BRIDGES MD (SOLE MEMBER)
(769) 200-1600
Entity
Organization
Contact information
Practice address
920 EBENEZER BLVD STE A, MADISON, MS 39110-6005
(769) 200-1600
(769) 200-1571
Mailing address
920 EBENEZER BLVD STE A, MADISON, MS 39110-6005
(769) 200-1600
(769) 200-1571
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
05/26/2021
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