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Organization
BLOOM PEDIATRICS
Active
Organization
BLOOM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY WHITNEY NP (OWNER)
(770) 595-6394
Entity
Organization
Contact information
Practice address
2151 EATONTON RD STE 2, MADISON, GA 30650-5088
(770) 595-6394
Mailing address
2965 DOSTER RD, MADISON, GA 30650-3501
(770) 595-6394
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
09/16/2025
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