Organization
THE TOWNE DOCTOR, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN BLOOMINGDALE (DIRECTOR)
(706) 886-9616
Entity
Organization
Contact information
Practice address
921 S BIG A RD, TOCCOA, GA 30577-3811
(706) 886-9616
(706) 282-0365
Mailing address
921 S BIG A RD, TOCCOA, GA 30577-3811
(706) 886-9616
(706) 282-0365
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
GA002262
GA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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