Individual
ALLYSON CATHERINE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2323 CHESHIRE BRIDGE RD NE, ATLANTA, GA 30324-3725
(310) 429-8835
(843) 936-1787
Mailing address
6894 LANCASTER XING, FLOWERY BRANCH, GA 30542-7627
(404) 451-2142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN209509
GA
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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