Blomquist, Carli Jo
Blomquist, Carli Jo is an individual health care provider with primary practice located at 201 Hospital Road Northside Hospital - Cherokee, Canton GA 30114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Blomquist, Carli Jo can be contacted via phone (770) 720-5100.Contact Information
Primary practice address
201 Hospital Road Northside Hospital - Cherokee
Canton GA 30114
Phone: (770) 720-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 069378 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 69378 | Georgia |
Profile Details
| NPI number | 1831417278 |
|---|---|
| LBN Legal business name | Blomquist, Carli Jo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2010 |
| Last updated | Jan 20th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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