Audrey Bloom, PH.D

NPI 1922187376 · on the registry since 2006 · sole proprietor

Practice

Address: 10475 Medlock Bridge Rd
Building 300, Suite 315
Duluth, GA 30097
Phone: (678) 935-9567
Fax: (678) 935-9568
Organisation at this address: Ivy Falls Family Medicine
Lorna L. Benbenisty, Ph.D., Llc
Healthsource Chiropractic Of Johns Creek
Out Of The Box, Counseling, Coaching, And Consulting
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 103T00000X
103T00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia