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Organization

BRAINBRIDGE CLINIC LL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALECIA CHAPMAN (CEO)
(432) 315-4720
Entity
Organization

Contact information

Practice address
749 S HIGHWAY 1064, WOODBINE, KY 40771-7705
(432) 315-4720
Mailing address
2501 CHATHAM RD STE 6341, SPRINGFIELD, IL 62704-4188
(432) 315-4720

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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