Provider Demographics
NPI:1457660854
Name:BRIDGES, LEIGH ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNE
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 ATHENS RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30648-1907
Mailing Address - Country:US
Mailing Address - Phone:706-743-7497
Mailing Address - Fax:706-743-7596
Practice Address - Street 1:718 ATHENS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:GA
Practice Address - Zip Code:30648-1907
Practice Address - Country:US
Practice Address - Phone:706-743-7497
Practice Address - Fax:706-743-7596
Is Sole Proprietor?:No
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022127183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist