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NPI Code Detail

MEDICARE: CAMEO BLUNDSTONE

MEDICARE: CAMEO BLUNDSTONE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1104668003
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMEO BLUNDSTONE
Provider Business Mailing Address
First Line : 1653 GARCIA DR APT A
Second Line :
City : FORT GORDON
State : GA
Zip : 30905-2817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 823 BROAD ST
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-1214
Country : US
Telephone Number : 706-993-3829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 04/15/2026

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Directions to “ CAMEO BLUNDSTONE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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