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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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