| Bloom Pediatric Partners, Pllc | |
|
612 North Broad Street East Angier NC 27501-8954 | |
| (706) 340-3138 | |
| (877) 485-3477 |
| Full Name | Bloom Pediatric Partners, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 612 North Broad Street East, Angier, North Carolina |
| Authorized Official Name and Position | Melinda Lee Beavers (OWNER) |
| Authorized Official Contact | 7063403138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Pediatric Partners, Pllc 612 North Broad Street East Angier NC 27501-8954 Ph: (706) 340-3138 | Bloom Pediatric Partners, Pllc 612 North Broad Street East Angier NC 27501-8954 Ph: (706) 340-3138 |
| NPI Number | 1922737923 |
|---|---|
| Provider Enumeration Date | 06/07/2022 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922737923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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