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Individual

DR. JOHN R BLUMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35841
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01146087
AMERIGROUP COMMUNITY CARE
SC
01
11317
DOCTORS HEALTH PLAN
NC
01
141024
COVENTRY HEALTHCARE HMO
01
16393
BCBS
NC
01
20087248
SELECT HEALTH OF SC/FIRST CHOICE
SC
01
26674
WELLPATH
NC
01
276567
MAMSI
01
44672
MEDCOST
NC
01
4570715
AETNA
01
5703439003
CIGNA
NC
01
771567
WELLCARE
SC
05
8916393
NC
01
9466
PARTNERS SELECT CARE
05
N35841
SC
Enumeration date
03/07/2006
Last updated
03/31/2021
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