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NPI Profile for CORA A BLODGETT in FORT MOORE, GA.
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military Health Care Provider |
171000000X |
| NPI Number | 1861186975 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 06/05/2023 | |
| Last updated | 08/21/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CORA A BLODGETT
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CORA A BLODGETT, DO