Provider Demographics
NPI:1437676590
Name:GOSS, JAMIE BRIDGES (SURGICAL FIRST ASSIS)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:BRIDGES
Last Name:GOSS
Suffix:
Gender:F
Credentials:SURGICAL FIRST ASSIS
Other - Prefix:
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Mailing Address - Street 1:16 CASTLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-6603
Mailing Address - Country:US
Mailing Address - Phone:321-604-2654
Mailing Address - Fax:912-356-1221
Practice Address - Street 1:4750 WATERS AVE STE 500
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6261
Practice Address - Country:US
Practice Address - Phone:912-629-8000
Practice Address - Fax:912-356-1221
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA17-294246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant