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Individual

BRIDGET JOSEPHINE LEARY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
654 1ST ST, MACON, GA 31201-2851
(478) 738-9443
Mailing address
225 MERRITT AVE, MACON, GA 31204-1316
(478) 960-5780

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN176398
GA

Other

Enumeration date
05/11/2006
Last updated
07/08/2007
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