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Contact Information

JEANNIE BLOM MD PC
2722 N. DECATUR
DECATUR, GA30033
 Phone: 404-849-3443
 Fax: 404-467-1004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JEANNIE BLOM MD PC

NPI # 1144530155
LBN Legal business name JEANNIE BLOM MD PC
Authorized official JEANNIE BLOM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2010
Last updated 12/06/2012 - About 14 years ago
Identifiers
GA License # 041517
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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