DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARRETT BLOM, PA

Active Sole Proprietor

GARRETT BLOM, PA is a Physician Assistant healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1134988256 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHARLOTTESVILLE, VA

Registration Details

NPI Number
1134988256
Provider Type
Individual
Gender
Male
NPI Issued
Mar 19, 2024 (2.3973337707465 yrs)
Last Updated
Sep 30, 2024
License
0110010015 (VA)
Sole Proprietor
Yes

Practice Information

Address
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA, 229114668
Browse VA providers · Browse ZIP 22911
Phone
3365125308
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHARLOTTESVILLE, VA

Name Credential NPI
DENISE L. JACKSON P.A. 1568421311
KELSEY M. PARENTE PA-C, ATC 1568407385
GWENDOLYN E BALDWIN PA-C 1548291255
NANCY V RAGSDALE PAC 1255351540
KARRA D. LEE PA-C 1093822967
WILLIAM H SMITHSON PA 1528179157
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.