JUAN BLOODWORTH

FORT OGLETHORPE, GA
NPI1841034600
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN149334)
Enumeration Date2024-06-25
Last Update Date2024-06-25
Business Address
JUAN BLOODWORTH
2009 OLD LAFAYETTE RD
FORT OGLETHORPE, GA 30742-3510
Phone number: 706-956-2665
Mailing Address
JUAN BLOODWORTH
13570 N MAIN ST
TRENTON, GA 30752-2012
Phone number: 706-956-2665
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