Bridgewater Family Practice, Pc

LBN: Bridgewater Family Practice, Pc
Bridgewater Family Practice, Pc is an health care organization with primary practice located at 2215 Exchange Pl Se , Conyers GA 30013-6723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bridgewater Family Practice, Pc can be contacted via phone (770) 922-3522, or through Manning, Michael Joseph via phone (770) 922-3522.

Contact Information

Primary practice address
2215 Exchange Pl Se Conyers GA 30013-6723
Phone: (770) 922-3522
Fax: (770) 922-3662
Website:
Map and Directions
Authorized official contact:
Name: Manning, Michael Joseph Doctor of Medicine (MD)
Phone: (770) 922-3522

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1831201383
LBN Legal business name Bridgewater Family Practice, Pc
DBA Doing business as
Authorized official Manning, Michael Joseph Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831201383 NPPES
Georgia Other 7598486 AETNA GROUP NUMBER
Georgia Other 11D0938549 AETNA GROUP NUMBER

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