Provider Demographics
NPI:1780477794
Name:BRIDGES, LAUREN N (DC)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:N
Last Name:BRIDGES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:N
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:2550 SANDY PLAINS RD STE 225
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-7256
Mailing Address - Country:US
Mailing Address - Phone:340-998-1939
Mailing Address - Fax:
Practice Address - Street 1:3225 CUMBERLAND BLVD SE STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-6408
Practice Address - Country:US
Practice Address - Phone:340-998-1939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT011627225700000X
GACHIR010919111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No111N00000XChiropractic ProvidersChiropractor