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NPI Code Detail

MEDICARE: JOSEPH BLANEY NBC-HWC

MEDICARE:   JOSEPH  BLANEY  NBC-HWC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171400000XHealth & Wellness CoachW57905GA

General Provider Information

NPI Number : 1245915297
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH BLANEY NBC-HWC
Provider Business Mailing Address
First Line : 2301 SUMMERBROOK CIR UNIT 2312
Second Line :
City : ATHENS
State : GA
Zip : 30606-2864
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1050 BARBER CREEK DR STE 101
Second Line :
City : WATKINSVILLE
State : GA
Zip : 30677-4502
Country : US
Telephone Number : 706-308-7212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2023
Last Update Date : 01/01/2024

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Directions to “ JOSEPH BLANEY NBC-HWC” Practice Location

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