Bloodworth, Juan

Bloodworth, Juan is an individual health care provider with primary practice located at 2009 Old Lafayette Rd , Fort Oglethorpe GA 30742-3510. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bloodworth, Juan can be contacted via phone (706) 956-2665.

Contact Information

Primary practice address
2009 Old Lafayette Rd Fort Oglethorpe GA 30742-3510
Phone: (706) 956-2665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN149334 Georgia

Profile Details

NPI number 1841034600
LBN Legal business name Bloodworth, Juan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2024
Last updated Jun 25th, 2024 - about 3 months ago

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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