Individual
MRS. BRIDGET ODONNELL GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1321 MCARTHUR ST, MANCHESTER, TN 37355-2425
(931) 728-0772
(931) 728-0444
Mailing address
311 KINGS RIDGE, TULLAHOMA, TN 37388-0000
(931) 454-9863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5896
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3709474
—
TN
01
—
4048794
BLUE CROSS BLUE SHIELD
TN
01
—
5896
APN
TN
01
—
DA2686
RAILROAD MEDICARE
TN
Enumeration date
04/25/2006
Last updated
12/29/2009
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