| Pamela A. Bridgeman | |
|
109 Central Ave Cartersville GA 30120-3905 | |
| (770) 983-4444 | |
| (770) 383-8930 |
| Full Name | Pamela A. Bridgeman |
|---|---|
| Speciality | Social Worker |
| Location | 109 Central Ave, Cartersville, Georgia |
| Authorized Official Name and Position | Pamela A Bridgeman (THERAPIST/CEO) |
| Authorized Official Contact | 7709834444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela A. Bridgeman Po Box 2603 Cartersville GA 30120-1694 Ph: (770) 983-4444 | Pamela A. Bridgeman 109 Central Ave Cartersville GA 30120-3905 Ph: (770) 983-4444 |
| NPI Number | 1598032146 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Medicare PECOS PAC ID | 6800057324 |
|---|---|
| Medicare Enrollment ID | O20120410000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598032146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004483 (Georgia) | Primary |
| Provider Name | Pamela Anita Bridgeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336372424 PECOS PAC ID: 6709058423 Enrollment ID: I20110930000325 |
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