Individual
WILLIAM WESLEY BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2017-01713
NC
2084P0800X
Psychiatry Physician
Primary
2017-01713
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
03/29/2021
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