Organization
BRIDGEMAN BROTHERS MEDIQUIP
Active
Other names
Bridgeman Mediquip
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER EARL BRIDGEMAN ATS CRTS (OWNER)
(478) 742-0022
Entity
Organization
Contact information
Practice address
109 HWY 49, SUITE 5, MACON, GA 31211-7853
(478) 742-0022
(478) 742-0211
Mailing address
PO BOX 4383, MACON, GA 31208-4383
(478) 742-0022
(478) 742-0211
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
20012618227
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000977534A
—
GA
Enumeration date
10/30/2006
Last updated
05/22/2008
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