Individual
MELISSA DIONNE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
3278 MITCHELL BLVD, MOODY A F B, GA 31699-1500
(229) 257-4963
Mailing address
PO BOX 4534, VALDOSTA, GA 31604-4534
(229) 560-5233
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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