Individual
DR. DOAN TAM BLOOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-6440
(404) 625-8732
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
40675
SC
207W00000X
Ophthalmology Physician
74435
GA
Other
Enumeration date
05/14/2011
Last updated
01/23/2025
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