Blooming Medical Group, Pllc

NPI #1750041497 in Cary, North Carolina

Provider Information

NPI Number: 1750041497
Entity Type: Organization
Organization Name: Blooming Medical Group, Pllc
Primary Specialty: Physician Assistant
Enumeration Date: Dec 21, 2021
Last Updated: Jan 31, 2023

Practice Location

Address: 964 HIGH HOUSE RD UNIT 4037
City: Cary
State: North Carolina
ZIP Code: 27513-3574
Phone: (910) 644-0887

Authorized Official

Name: EMILY BECKER PEVTSOV, PA
Title: OWNER
Phone: (910) 644-0887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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