Individual
DR. STEPHEN ALLEN BLOOMINGDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
92 BETTY'S CREEK ROAD, DILLARD, GA 30537
(706) 782-7878
(706) 746-5643
Mailing address
1010 CRESCENT DR, TOCCOA, GA 30577-8432
(706) 827-9941
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2262
GA
Other
Enumeration date
10/19/2006
Last updated
12/09/2010
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