Bloodworth, James H

Bloodworth, James H is an individual health care provider with primary practice located at 1900 Tebeau St , Waycross GA 31501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bloodworth, James H can be contacted via phone (912) 287-5326.

Contact Information

Primary practice address
1900 Tebeau St Waycross GA 31501
Phone: (912) 287-5326
Fax: (912) 287-4222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036686 Georgia

Profile Details

NPI number 1235112913
LBN Legal business name Bloodworth, James H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Feb 27th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235112913 NPPES
Alabama MEDICAID 009994780
Alabama Other 601-38352
Alabama MEDICAID 009994790
Alabama MEDICAID 009994770
Alabama Other 600-96927
Alabama MEDICAID 000557554A

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