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Blossom Adeniran

NPI 1184973026 · on the registry since 2012 · sole proprietor

Practice

Address
4320 Celebration Dr Sw
Atlanta, GA 30331
Phone
(404) 505-7736

Registry record

Primary taxonomy
163WA2000X
163WA2000X
Also registered as
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-06

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