Most Relevant Information
Provider Data
| NPI Number: | 1003427154 |
| Provider Name: | BRIDGETTE REDICK NP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 219728 |
Most Important Dates
| Enumeration Date: | 08/12/2020 |
| Last Updated: | 01/14/2021 |
Provider Practice Location
460 CLEMSON RD
COLUMBIA
SC
292297925
Practice Location Phone/Fax
| Phone: | 8034388300 |
| Fax: |
Provider Mailing Location
460 CLEMSON RD
COLUMBIA
SC
292297925
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |