Individual
BRIDGETT S TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1311 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 384-1043
Mailing address
1311 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 384-1043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN126365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137481858A
—
GA
Enumeration date
06/27/2006
Last updated
07/08/2007
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