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Organization
BLOOM WELL HEALTH CLINIC LLC
Active
Organization
BLOOM WELL HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ANN BATTEN DNP, NP-C (OWNER)
(912) 282-2025
Entity
Organization
Contact information
Practice address
2667 BATTEN HILL RD, BLACKSHEAR, GA 31516-4938
(912) 282-2025
Mailing address
2667 BATTEN HILL RD, BLACKSHEAR, GA 31516-4938
(912) 282-2025
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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