Individual
SCOTT LILLIBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 GENERAL OGLETHORPE RD, SAINT SIMONS ISLAND, GA 31522-5221
(713) 825-2130
Mailing address
116 GENERAL OGLETHORPE RD, SAINT SIMONS ISLAND, GA 31522-5221
(713) 825-2130
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35088
GA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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