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Byron J Bloom, PA-C
Medical Physician Assistant in Shelbyville, Tennessee
NPI 1801074042

Byron J Bloom is a Medical Physician Assistant based in Shelbyville, TN and is specialized in Medical. Byron J Bloom practices in Shelbyville, TN and has the professional credentials of PA-C. The NPI Number for Byron J Bloom is 1801074042 and holds a License No. 922 (Tennessee).

The current practice location address for Byron J Bloom is 883 Union St, Shelbyville, TN and can be reached out via phone at 931-685-1145 and via fax at 931-685-8014.

Location: 883 Union St, Shelbyville, TN, 37160-2607
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Provider Profile Details
NPI Number
1801074042
Provider Name
Byron J Bloom
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
883 Union St, Shelbyville, TN, 37160-2607
Phone Number
931-685-1145
Fax Number
931-685-8014
Provider Enumeration Date
02/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1801074042 01 TN NPI
922 01 TN PA LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
883 Union St
City
State
Zip
37160-2607
Phone Number
931-685-1145
Fax Number
931-685-8014
person
Provider Business Mailing Address Details
Address
883 Union St
City
State
Zip
37160-2607
Phone Number
931-685-1145
Fax Number
931-685-8014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
922 (Tennessee)
Definition
Definition to come...
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