Individual
JUAN BLOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2009 OLD LAFAYETTE RD, FORT OGLETHORPE, GA 30742-3510
(706) 956-2665
Mailing address
13570 N MAIN ST, TRENTON, GA 30752-2012
(706) 956-2665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN149334
GA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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