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Search › Georgia › 163W00000X

Shirley Blake, RNC

NPI 1386886752 · on the registry since 2009 · sole proprietor

Practice

Address
3509 Mabry Road
Gainesville, GA 30504
Phone
(770) 536-2310
Organisation at this address
Georgia Mountain Community Services
Georgia Mountains Community Services
Georgia Mountains Community Services
Georgia Mountains Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-04-01

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