| Doctor Name: | DR. CAROL BRIDGES |
| NPI Number: | 1003078056 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01040338 |
| Business Practice Address: | 4391 E Lake Rd 36e Monticello, IN - 479607513 |
| Business Phone Number: | 5745838730 |
| Business Fax Number: | |
| Mailing Address: | 4391 E Lake Rd 36e, MONTICELLO |
| State: | IN |
| Postal Code: | 47960 |
| Phone Number: | 5745838730 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2008 |
| NPI Last Update Date: | 07/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01040338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |