Individual
ZACHARY BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2000
Mailing address
719 BLACK OAK CIR, PEARL, MS 39208-5208
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
563727
MS
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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