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

ANDREW THOMAS BLOOM

Active Sole Proprietor

Specialist · WINTERVILLE, GA

Registration Details

NPI Number: 1386305639
Provider Type: Individual
Gender: Male
NPI Issued: Jan 7, 2022 (4.3062188776706 yrs)
Last Updated: Jan 7, 2022
Sole Proprietor: Yes

Practice Information

Address: 1225 VOYLES RD

WINTERVILLE, GA, 306832510
Browse GA providers · Browse ZIP 30683
Phone: 7063530006
Primary Specialty: Specialist
174400000X

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.