Individual provider · NPI-1

Amiria Blakely

Family Medicine · Rome, GA

NPI number1346923026
StatusActive
Last updated in NPPESOct 17, 2025

Details

NPI
1346923026
Entity type
Individual (NPI-1)
Name
Amiria Blakely
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2023
Certification date
Oct 17, 2025
Last updated
Oct 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine17774GAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

304 Turner Mccall Blvd Sw
Rome, GA 30165-5621

Phone 706-509-5000

Mailing address

304 Shorter Ave Nw Ste 201
Rome, GA 30165-4256

Phone 706-509-3300

Other practice locations

304 Shorter Ave Nw Ste 201
Rome, GA 30165-4256

Phone 706-506-3300

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