| NPI | 1922737923 |
|---|---|
| Doing Business As | BLOOM PEDIATRIC PARTNERS, PLLC |
| Entity Type | Organization |
| Authorized Contact | MELINDA LEE BEAVERS Owner 706-340-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |