Organization
BRIDGEWATER FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH MANNING M.D. (CEO/PHYSICIAN/OWNER)
(770) 922-3522
Entity
Organization
Contact information
Practice address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 922-3522
(770) 922-3662
Mailing address
2215 EXCHANGE PL SE, CONYERS, GA 30013-6723
(770) 922-3522
(770) 922-3662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0938549
CLIA
GA
01
—
7598486
AETNA GROUP NUMBER
GA
Enumeration date
08/31/2006
Last updated
06/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us