Individual
ERNEST RANDY BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1930 HIGHLAND AVENUE SUITE A, AUGUSTA, GA 30904-7803
(706) 481-9105
(706) 481-9107
Mailing address
1930 HIGHLAND AVE STE A, AUGUSTA, GA 30904-7803
(706) 481-9105
(706) 481-9107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002060
GA
225200000X
Physical Therapy Assistant
TE007060
PA
Other
Enumeration date
03/27/2007
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us