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Organization
HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC
Active
Organization
HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY DALTON BLEDSOE JR. MD (MEDICAL DIRECTOR)
(678) 986-6144
Entity
Organization
Contact information
Practice address
1825 MCENTIRE CIR, CHATSWORTH, GA 30705-5945
(678) 986-6144
Mailing address
1825 MCENTIRE CIR, CHATSWORTH, GA 30705-5945
(678) 986-6144
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
NULL
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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