Organization
525 BRIDGEWATER LLC.
Active
Organization
525 BRIDGEWATER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH P. SHEILDS (PRESIDENT)
(770) 377-7773
Entity
Organization
Contact information
Practice address
2478 WOOD MEADOWS DRIVE, MARIETTA, GA 30064
(770) 377-7773
Mailing address
3233 WARREN CREEK DRIVE, HIRAM, GA 30141
(770) 377-7773
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up