Provider Demographics
NPI:1528519246
Name:WOKAL, BRIDGETTE DENISE (CST)
Entity type:Individual
Prefix:
First Name:BRIDGETTE
Middle Name:DENISE
Last Name:WOKAL
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Gender:F
Credentials:CST
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Mailing Address - Street 1:2537 CEDARCREST RD STE 305-14
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-8900
Mailing Address - Country:US
Mailing Address - Phone:470-336-8190
Mailing Address - Fax:770-336-6620
Practice Address - Street 1:2537 CEDARCREST RD STE 305-14
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-8900
Practice Address - Country:US
Practice Address - Phone:470-336-8190
Practice Address - Fax:770-336-6620
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2024-10-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical