Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Golden Bloom Phrams Inc

Organization Exclusive Provider Organization · NPI 1962007252

Golden Bloom Phrams Inc is an Exclusive Provider Organization in Conyers, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1172 Old Salem Rd SE
Conyers, GA 30094-5944
Phone: (770) 633-8550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X

Record details

NPI number1962007252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Lane — President · (770) 633-8550
NPI enumeratedDecember 3, 2020
Last updated in NPPESDecember 3, 2020
Certification dateDecember 3, 2020
Mailing address1172 Old Salem Rd Se, Conyers, GA 30094-5944

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