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Contact Information

CANDACE R BLOOM
375 HIGHLAND AVE NE UNIT 601
ATLANTA, GA30312-1381
 Phone: 706-464-7380
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

163WC0200X
Indicates primary specialty

NPI Profile & details for CANDACE R BLOOM · (Female)

NPI # 1063221935
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2025
Last updated 01/06/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN290420
Hospital affiliation(s) Not Available
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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