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Individual

CANDACE RORI BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
375 HIGHLAND AVE NE UNIT 601, ATLANTA, GA 30312-1381
(706) 464-7380
Mailing address
375 HIGHLAND AVE NE UNIT 601, ATLANTA, GA 30312-1381
(706) 464-7380

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN290420
GA

Other

Enumeration date
01/04/2025
Last updated
01/06/2025
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