Individual
MARY L. BRIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
207 OLD LEXINGTON RD, SPINE CENTER OF TMC, THOMASVILLE, NC 27360-3428
(336) 475-0200
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, ATTN FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201740
NC
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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