Provider Demographics
NPI:1033600085
Name:BRIDGES, SAMANTHA LYNN HORVATH (DO)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LYNN HORVATH
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 OWEN DR # 138
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3424
Mailing Address - Country:US
Mailing Address - Phone:910-615-4430
Mailing Address - Fax:910-615-9872
Practice Address - Street 1:1638 OWEN DR # 138
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-3424
Practice Address - Country:US
Practice Address - Phone:910-615-4430
Practice Address - Fax:910-615-9872
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-25
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC220-01135207V00000X
NC390200000X
NC2022-01135207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program