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Cora Anna Blodgett, DO
Military Health Care Provider in Fort Moore, Georgia
NPI 1861186975

Cora Anna Blodgett is a Military Health Care Provider based in Fort Moore, GA. Cora Anna Blodgett practices in Fort Moore, GA and has the professional credentials of DO. The NPI Number for Cora Anna Blodgett is 1861186975 and holds a License No. (Georgia).

The current practice location address for Cora Anna Blodgett is 6600 Van Aalst Blvd Bldg 9260, Fort Moore, GA and can be reached out via phone at 762-408-2655.

Location: 6600 Van Aalst Blvd Bldg 9260, Fort Moore, GA, 31905-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861186975
Provider Name
Cora Anna Blodgett
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
6600 Van Aalst Blvd Bldg 9260, Fort Moore, GA, 31905-2102
Phone Number
762-408-2655
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd Bldg 9260
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-2655
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd Bldg 9260
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
762-408-2655
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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