Individual
DR. THOMAS WAYNE BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6794 BILL CARRUTH PARKWAY, HIRAM, GA 30141
(678) 567-5917
(770) 222-4589
Mailing address
6794 BILL CARRUTH PARKWAY, HIRAM, GA 30141
(678) 567-5917
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
018124
GA
Other
Enumeration date
07/23/2010
Last updated
08/11/2015
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