Individual
GRANT RICHARD BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3104 SKINNER MILL RD, AUGUSTA, GA 30909-1968
(706) 522-4222
Mailing address
410 BLOEDEL RESERVE WAY APT 2, MARTINEZ, GA 30907-7324
(706) 830-1816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016045
GA
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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