Individual
JAMES R BLOOM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 RIVERS AVE, CHARLESTON, SC 29405-7747
(843) 743-7200
Mailing address
3600 RIVERS AVE, CHARLESTON, SC 29405-7747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
034233E
PA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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