Dr. Stephen Allen Bloomingdale
Chiropractic Sports Physician
92 Betty's Creek Road
Dillard
, Georgia 30537
Dr. Stephen Allen Bloomingdale
Chiropractic Sports Physician
92 Betty's Creek Road
Dillard
, Georgia 30537
(706) 827-9941
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Stephen Allen Bloomingdale
- 1010 Crescent Dr
- Toccoa, GA
- Zip : 30577-8432
- Phone : (706) 827-9941
Second Address
- Dr. Stephen Allen Bloomingdale
- 92 Betty's Creek Road
- Dillard, GA
- Zip : 30537
- Fax : (706) 746-5643
- Phone : (706) 782-7878
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 2262 | GA |
National Provider Identifier
| NPI | 1053493999 |
|---|---|
| Provider Name | Dr. Stephen Allen Bloomingdale |
| First Address | Toccoa, GA 30577-8432 |
| Second Address | Dillard, GA 30537 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 09/12/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.