Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN ALLEN BLOOMINGDALE, D.C.
ActiveDR. STEPHEN ALLEN BLOOMINGDALE, D.C. is a Sports Physician (Chiropractor) healthcare provider located in DILLARD, Georgia. NPI 1053493999 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · DILLARD, GA
Registration Details
- NPI Number
- 1053493999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.637590420786 yrs)
- Last Updated
- Dec 9, 2010
- License
-
2262 (GA)
Practice Information
- Address
-
92 BETTY'S CREEK ROADDILLARD, GA, 30537Browse GA providers · Browse ZIP 30537
- Phone
- 7067827878
- Fax
- 7067465643
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.