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Individual

ZACHARY BRIDGES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3372 KEITH ST NW, CLEVELAND, TN 37312-3718
(423) 476-4751
(423) 339-2692
Mailing address
3372 KEITH ST NW, CLEVELAND, TN 37312-3718
(423) 476-4751
(423) 339-2692

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2103
TN

Other

Enumeration date
10/03/2012
Last updated
10/03/2012
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