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Individual

MISS BRIDGETTE REBECCA HARRISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
193 JOHN MICHAEL DRIVE, MACON, GA 31211
(478) 718-3046
Mailing address
193 JOHN MICHAEL DR, MACON, GA 31211-7511
(478) 718-3046

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN232909
GA

Other

Enumeration date
07/27/2017
Last updated
07/21/2022
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