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DR. STEPHEN ALLEN BLOOMINGDALE D.C.

Sports Physician >> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1053493999

Individual Registrant:
DR. STEPHEN ALLEN BLOOMINGDALE D.C.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
92 BETTY'S CREEK ROAD  DILLARD, GA 30537 US
Tel: 706-782-7878  Fax: 706-746-5643

Contact information for business:
1010 CRESCENT DR  TOCCOA, GA 30577-8432 US
Tel: 706-827-9941  Fax: --

Registration Information:
NPI: 1053493999
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111NS0005XChiropractic Providers
Chiropractor
Sports Physician
GA2262

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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