Doctor Name: | JAMES O. BRIDGES |
NPI Number: | 1013020874 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | TN0000000262 |
Business Practice Address: | 3000 Getwell Rd Memphis, TN - 381182205 |
Business Phone Number: | 9013698600 |
Business Fax Number: | 9013698620 |
Mailing Address: | 3000 Getwell Rd, MEMPHIS |
State: | TN |
Postal Code: | 381182205 |
Phone Number: | 9013698600 |
Fax Number: | 9013698620 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | TN0000000262 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |