Individual
DR. JOHN BRADLEY BIELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
510 MOUNT PLEASANT RD, THOMSON, GA 30824-8139
(706) 597-9700
(706) 597-0790
Mailing address
PO BOX 720, THOMSON, GA 30824-0720
(706) 597-9700
(706) 597-0790
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
038689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623147A
—
GA
01
—
200038452
RR MEDICARE
GA
01
—
616528
BCBS
GA
Enumeration date
09/13/2005
Last updated
09/09/2010
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