Search › Georgia › 171400000X
Jessica Blalock
NPI 1215635420 · on the registry since 2023 · sole proprietor
Practice
- Address
- 4918 Longcourt Trce Se
Atlanta, GA 30339 - Phone
- (404) 290-2345
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Also registered as
- 171W00000X
- Sex
- Female
- Record last updated
- 2023-02-16
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