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ANGELA M BLOODWORTH NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1487169322

Individual Registrant:
 ANGELA M BLOODWORTH NP
Gender: F
Sole Proprietor

Location and contact information for practice:
116 BENJAMIN HL STE 12  FITZGERALD, GA 31750-9511 US
Tel: 229-424-7263  Fax: --

Contact information for business:
117 KITE RD  SWAINSBORO, GA 30401-3231 US
Tel: 478-289-1303  Fax: --

Registration Information:
NPI: 1487169322
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN097050

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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