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Tamala Blevins
NPI 1053486811 · on the registry since 2006 · sole proprietor
Practice
- Address
- 4041 Smithfield Trl
Ellenwood, GA 30294 - Phone
- (404) 520-2675
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia