Healthcare Provider Details

I. General information

NPI: 1780477794
Provider Name (Legal Business Name): LAUREN N BRIDGES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN N BRIDGES LMT

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 CUMBERLAND BLVD SE STE 100
ATLANTA GA
30339-6408
US

IV. Provider business mailing address

2550 SANDY PLAINS RD STE 225
MARIETTA GA
30066-7256
US

V. Phone/Fax

Practice location:
  • Phone: 340-998-1939
  • Fax:
Mailing address:
  • Phone: 340-998-1939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR010919
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT011627
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: