Bridgemill Health Group LLC

NPI #1023362191 in Canton, Georgia

Provider Information

NPI Number: 1023362191
Entity Type: Organization
Organization Name: Bridgemill Health Group LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 29, 2012
Last Updated: Oct 29, 2012

Practice Location

Address: 3542 SIXES RD
Address 2: SUITE 100
City: Canton
State: Georgia
ZIP Code: 30114-9124
Phone: (678) 880-6118

Authorized Official

Name: DR. SCOTT DEPOL, DC
Title: MEMBER/MANAGER
Phone: (678) 880-6118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Family Medicine	207Q00000X	Primary

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