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Contact Information

RICHARD R BLOOM, MD
1900 5TH AVE
COLUMBUS, GA31904
 Phone: 706-576-4474
 Fax: 706-576-5940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD R BLOOM · (Male)

NPI Number 1952481251
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 04/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 029589
  • GA Medicaid 00476693
Hospital affiliation(s)
  • MEDICAL CENTER THE - (Acute Care)
    710 CENTER ST BOX 951
    COLUMBUS, GA 31901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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