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Individual

MS. BERNADETTE D. BLOUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
126 HWY 280, AMERICUS, GA 31719-8645
(229) 931-1738
(229) 931-7148
Mailing address
7782 PRESERVATION CT, MIDLAND, GA 31820-3664
(706) 562-0612

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059603
GA
207Q00000X
Family Medicine Physician
PENDING
AL

Other

Enumeration date
10/02/2006
Last updated
02/12/2016
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