MRS. PAIGE BLOODWORTH CAMP (NPI# 1215994470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215994470 |
| Entity Type | Individual |
| Full Name | MRS. PAIGE BLOODWORTH CAMP |
| Credential | MEDICAL DOCTOR |
| Practice Address |
130 Oakside Ct Suite A Canton GA 30114-2456 |
| Mailing Address |
111 Marble Mill Rd Nw Marietta GA 30060-1047 |
| Practice Telephone | 7704797711 |
| Practice Fax Number | 7704790330 |
| Mailing Telephone | 7704221013 |
| Mailing Fax Number | 7705145996 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 040630 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 52731927 | 01 |
| GA | MEDICARE RAILROAD | 070012620 | 01 |
| Street Address |
130 OAKSIDE CT SUITE A |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1699982454 | Skin and Allergy Clinic, Inc. | Dermatology | 6801 Graystone Cir Nw, Dr. Khan - Dermatologist, Canton, OH 44718-1372 | 2007-05-17 |
| 1285651141 | Mark William Berbaum | Dermatology | 4527 Everhard Rd Nw, Canton, OH 44718 | 2006-07-16 |
| 1255398418 | Fausto Antonio Sicard | Dermatology | 4825 Munson St Nw, Canton, OH 44718-3614 | 2006-04-28 |
| 1295704815 | Ann Ammond Lafond | Dermatology | 8584 N Canton Center Rd, Canton, MI 48187-1310 | 2006-03-16 |
| 1235106642 | Maria A Charif | Dermatology | 4340 Fulton Dr Nw, Canton, OH 44718-2824 | 2006-03-03 |
| 1124095682 | Lisa Marie Sayoc | Dermatology | 4565 Dressler Nwrd Ll3, Canton, OH 44718-2579 | 2006-03-03 |
| 1134125065 | Thomas Powell Waldinger | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2005-06-24 |
| 1649629510 | Chelsea Luther | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2016-06-10 |
| 1336593169 | Kimberly Simons | Dermatology | 285 N Lilley Rd, Canton, MI 48187-3907 | 2016-04-18 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.