Organization
HOME PHYSICIAN CARE OF NORTHWEST GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMY DALTON BLEDSOE JR. MD (MEDICAL DIRECTOR)
(678) 986-6144
Entity
Organization
Contact information
Practice address
1825 MCENTIRE CIR, CHATSWORTH, GA 30705-5945
(678) 986-6144
Mailing address
1825 MCENTIRE CIR, CHATSWORTH, GA 30705-5945
(678) 986-6144
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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