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1245232503

NPI Code Detail

MEDICARE: DR. TERESA JOY BOHLMEYER M.D.

MEDICARE: DR. TERESA JOY BOHLMEYER M.D.

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	32668	CO
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35161	IA
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	20669	NE
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	5186	SD
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	48248	MN
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	064335	GA

General Provider Information

NPI Number	:	1245232503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERESA JOY BOHLMEYER M.D.

Provider Business Mailing Address
First Line	:	5700 SOUTHWYCK BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1509
Country	:	US
Telephone Number	:	800-288-8325
Fax Number	:	419-866-5453

Provider Business Practice Location Address
First Line	:	417 W 3RD AVE
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-1943
Country	:	US
Telephone Number	:	229-312-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	02/07/2015

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Directions to “ DR. TERESA JOY BOHLMEYER M.D.” Practice Location

Language	Start Address	Practice Location

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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