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Individual

BRIDGETTE MICHELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1462 MONTREAL RD STE 411, TUCKER, GA 30084-6932
(877) 231-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4464
(850) 233-3376
(850) 522-8354

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2205
TN
363A00000X
Physician Assistant
Primary
6703
GA

Other

Enumeration date
09/25/2012
Last updated
07/21/2022
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