Individual
ANGELA M BLOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
116 BENJAMIN HL STE 12, FITZGERALD, GA 31750-9511
(229) 424-7263
Mailing address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN097050
GA
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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