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NPI Code Detail

MEDICARE: ERIN BLALOCK APRN - PMHNP

MEDICARE:   ERIN  BLALOCK  APRN - PMHNP
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
1163W00000XRegistered NurseRN203918GA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN203918GA

General Provider Information

NPI Number : 1821488446
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BLALOCK APRN - PMHNP
Provider Business Mailing Address
First Line : 136 BOSTON RD
Second Line :
City : CALHOUN
State : GA
Zip : 30701-2207
Country : US
Telephone Number : 678-982-2305
Fax Number :
Provider Business Practice Location Address
First Line : 1820 WATER PL SE STE 250
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2287
Country : US
Telephone Number : 404-220-7362
Fax Number : 678-213-1609
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2015
Last Update Date : 08/13/2024

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Directions to “ ERIN BLALOCK APRN - PMHNP” Practice Location

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