Individual
BRIDGET ANDERS MILLIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
202 ADVOCATE ROW, VIDALIA, LA 71373-3000
(601) 443-9876
(601) 442-4000
Mailing address
239 JOHN R JUNKIN DR, NATCHEZ, MS 39120-3821
(601) 443-9876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1561
LA
152W00000X
Optometrist
792
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1365289
—
LA
Enumeration date
07/21/2008
Last updated
09/07/2022
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