Blodgett, Cora Anna

Blodgett, Cora Anna is an individual health care provider with primary practice located at 6600 Van Aalst Blvd Bldg 9260 , Fort Moore GA 31905-2102. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Blodgett, Cora Anna can be contacted via phone (762) 408-2655.

Contact Information

Primary practice address
6600 Van Aalst Blvd Bldg 9260 Fort Moore GA 31905-2102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1861186975
LBN Legal business name Blodgett, Cora Anna
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2023
Last updated Aug 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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