Individual
ELIZABETH BRIDGEWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 INTERSTATE RIDGE DR STE C, GAINESVILLE, GA 30501-7074
(404) 934-8338
Mailing address
5020 MERLIN DR, OAKWOOD, GA 30566-2623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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