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NPI Code Detail

MEDICARE: OLIVIA BRIDGES PA-C

MEDICARE: OLIVIA BRIDGES PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2442AL

General Provider Information

NPI Number : 1972348209
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA BRIDGES PA-C
Provider Business Mailing Address
First Line : 302 TYSON AVE STE B
Second Line :
City : PARIS
State : TN
Zip : 38242-4555
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 302 TYSON AVE STE B
Second Line :
City : PARIS
State : TN
Zip : 38242-4555
Country : US
Telephone Number : 256-998-2032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2024
Last Update Date : 12/18/2025

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Directions to “ OLIVIA BRIDGES PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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