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MELISSA DIONNE BRIDGES IDMT
Independent Duty Medical Technicians >> Military Health Care Provider >> Other Service ProvidersRegistrant NPI Number: 1740598911
Individual Registrant: MELISSA DIONNE BRIDGES IDMT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3278 MITCHELL BLVD MOODY A F B, GA 31699-1500 US
Tel: 229-257-4963 Fax: --
Tel: 229-257-4963 Fax: --
Contact information for business:
PO BOX 4534 VALDOSTA, GA 31604-4534 US
Tel: 229-560-5233 Fax: --
Tel: 229-560-5233 Fax: --
Registration Information:
NPI: 1740598911
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1710I1003X | Other Service Providers Military Health Care Provider Independent Duty Medical Technicians |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
