Individual
DR. JAMES H BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501
(912) 287-5326
(912) 287-4222
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
(912) 287-5326
(912) 287-4222
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036686
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000557554A
—
GA
05
—
009994770
—
AL
05
—
009994780
—
AL
05
—
009994790
—
AL
01
—
600-96927
BCBS
AL
01
—
601-38352
BCBS
AL
Enumeration date
11/28/2005
Last updated
02/27/2019
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