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1730374166
GLENN R BLOOM
ATLANTA, GA
NPI
1730374166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 64512)
Enumeration Date
2007-09-10
Last Update Date
2010-08-12
Business Address
Dr. GLENN R BLOOM MD
5665 NEW NORTHSIDE DR NW STE 320
ATLANTA, GA 30328-5834
Phone number: 770-874-5400
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Mailing Address
Dr. GLENN R BLOOM MD
5665 NEW NORTHSIDE DR NW STE 320
ATLANTA, GA 30328-5834
Phone number:
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