Organization
THE BRIDGE MEDICAL SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G BYRD MD (OWNER)
(901) 795-4409
Entity
Organization
Contact information
Practice address
6073 MT MORIAH RD EXT, MEMPHIS, TN 38115-2644
(901) 795-4409
(901) 795-4403
Mailing address
PO BOX 17186, MEMPHIS, TN 38187-0186
(901) 795-4409
(901) 795-4403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501628
—
TN
Enumeration date
02/11/2008
Last updated
02/11/2008
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