Individual
BRIDGET ANA WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
Mailing address
1120 FOXFIRE CIR, ELBERTON, GA 30635-2616
(706) 248-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
034977
GA
207R00000X
Internal Medicine Physician
Primary
034977
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000471336N
—
GA
05
—
000471336O
—
GA
05
—
G34977
—
SC
Enumeration date
06/13/2006
Last updated
12/10/2013
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