Bridgemill Family Healthcare, LLC

NPI #1083986681 in Canton, Georgia

Provider Information

NPI Number: 1083986681
Entity Type: Organization
Organization Name: Bridgemill Family Healthcare, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PROGRESSIVE COMMUNITY HEALTHCARE
Primary Specialty: Family Medicine
Enumeration Date: Jan 30, 2012
Last Updated: Jan 30, 2012

Practice Location

Address: 3760 SIXES RD
Address 2: SUITE 120
City: Canton
State: Georgia
ZIP Code: 30114-8192
Phone: (770) 704-4580

Authorized Official

Name: MR. OTIS BONNER III
Title: ATTORNEY
Phone: (770) 866-5488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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