Organization
GEORGIA MOUNTAINS WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ALLEN BLOOMINGDALE DC (CHIROPRACTOR/OWNER)
(706) 491-2239
Entity
Organization
Contact information
Practice address
92 BETTY'S CREEK ROAD, DILLARD, GA 30537
(706) 782-7878
(706) 746-5643
Mailing address
PO BOX 1824, TOCCOA, GA 30577-1433
(706) 782-7878
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR002262
GA
Other
Enumeration date
08/13/2009
Last updated
12/09/2010
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