GOLDEN BLOOM PHRAMS INC

CONYERS, GA
NPI1962007252
Entity TypeOrganization
Authorized ContactJESSICA LANE
President
770-633-8550
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2020-12-03
Last Update Date2020-12-03
Business Address
GOLDEN BLOOM PHRAMS INC
1172 OLD SALEM RD SE
CONYERS, GA 30094-5944
Phone number: 770-633-8550
Mailing Address
GOLDEN BLOOM PHRAMS INC
1172 OLD SALEM RD SE
CONYERS, GA 30094-5944
Phone number: 770-633-8550
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