Individual
CALLIE BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-2000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
894377
MS
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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