| NPI | 1932731361 |
|---|---|
| Doing Business As | THE BRIDGE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOORE Office Manager 229-400-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-05 |