Individual
DR. MICHAEL M BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2625 PIEDMONT RD NE, SUITE 36G, ATLANTA, GA 30324-3086
(404) 233-3513
(404) 814-0184
Mailing address
2625 PIEDMONT RD NE, SUITE 36G, ATLANTA, GA 30324-3086
(404) 233-3513
(404) 814-0184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1262
GA
Other
Enumeration date
08/25/2006
Last updated
03/15/2018
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