SearchGeorgia363A00000X

Caroline Bliven, PA-C

NPI 1982772125 · on the registry since 2006 · sole proprietor

Practice

Address
300 Hospital Rd.
Connelly Health Clinic
Ft Gordon, GA 30905
Phone
(706) 787-1696
Fax
(706) 787-8176
Clinicians at this address
5

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-14

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