Individual
MRS. PAIGE BLOODWORTH CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
130 OAKSIDE CT, SUITE A, CANTON, GA 30114-2456
(770) 479-7711
(770) 479-0330
Mailing address
111 MARBLE MILL RD NW, MARIETTA, GA 30060-1047
(770) 422-1013
(770) 514-5996
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
040630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070012620
MEDICARE RAILROAD
GA
01
—
52731927
BCBS
GA
Enumeration date
04/28/2006
Last updated
12/06/2011
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