Organization
BROOKSTONE COMPREHENSIVE BREAST CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R. BLOOM M.D. (MEDICAL DIRECTOR)
(706) 507-7055
Entity
Organization
Contact information
Practice address
1000 CENTRE BROOK CT, COLUMBUS, GA 31904-4573
(706) 507-7055
(706) 507-7056
Mailing address
1000 CENTRE BROOK CT, COLUMBUS, GA 31904-4573
(706) 507-7055
(706) 507-7056
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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